October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Q84 Other congenital malformations of integument

All 9 codes in the Q84 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

9

Can lead a claim

2

Cannot lead a claim

7

What CMS assigns to Q84

2 of the 9 codes group to MMTA - Other; 7 are assigned no clinical group. None of the 9 is assigned a comorbidity subgroup. 2 of the 9 can lead a claim.

Every code in Q84

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q84.0Congenital alopeciaCan lead a claimANone
Q84.1Congenital morphological disturbances of hair, not elsewhere classifiedCMS: Congenital morphological disturbances of hair, NECCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.2Other congenital malformations of hairCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.3AnonychiaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.4Congenital leukonychiaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.5Enlarged and hypertrophic nailsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.6Other congenital malformations of nailsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q84.8Other specified congenital malformations of integumentCan lead a claimANone
Q84.9Congenital malformation of integument, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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