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

Q99 Other chromosome abnormalities, not elsewhere classified

All 10 codes in the Q99 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

10

Can lead a claim

9

Cannot lead a claim

1

What CMS assigns to Q99

9 of the 10 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 9 of the 10 can lead a claim.

Every code in Q99

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q99.0Chimera 46, XX/46, XYCan lead a claimANone
Q99.146, XX true hermaphroditeCan lead a claimANone
Q99.2Fragile X chromosomeCan lead a claimANone
Q99.8 Other specified chromosome abnormalities
Q99.81 Usher syndrome
Q99.811Usher syndrome, type 1Can lead a claimANone
Q99.812Usher syndrome, type 2Can lead a claimANone
Q99.813Usher syndrome, type 3Can lead a claimANone
Q99.818Other Usher syndromeCan lead a claimANone
Q99.819Usher syndrome, unspecifiedCan lead a claimANone
Q99.89Other specified chromosome abnormalitiesCan lead a claimANone
Q99.9Chromosomal abnormality, 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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