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

QA0 Neurodevelopmental disorders related to specific genetic pathogenic variants

All 13 codes in the QA0 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

13

Can lead a claim

13

Cannot lead a claim

0

What CMS assigns to QA0

All 13 codes group to Neuro Rehabilitation. 3 of the 13 count toward the Epilepsy comorbidity subgroup; 10 are assigned none. Every code can lead a claim.

  • Epilepsy: counts toward the high comorbidity tier only in an interaction pair.

Every code in QA0

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
QA0.0 Neurodevelopmental disorders related to pathogenic variants in specific genes
QA0.01 Neurodevelopmental disorders related to pathogenic variants in certain specific genes
QA0.010 Neurodevelopmental disorders, related to pathogenic variants in ion channel genes
QA0.0101SCN2A-related neurodevelopmental disorderCan lead a claimBEpilepsy
QA0.0102CACNA1A-related neurodevelopmental disorderCan lead a claimBEpilepsy
QA0.0109Neurodevelopmental disorder related to pathogenic variant in other ion channel geneCMS: Neurodev disord rel to patho var in other ion channel geneCan lead a claimBNone
QA0.011Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genesCMS: Neurodev disord, rel to patho var in glutamate recept genesCan lead a claimBNone
QA0.012Neurodevelopmental disorders, related to pathogenic variants in other receptor genesCMS: Neurodev disord, related to patho var in other recept genesCan lead a claimBNone
QA0.013 Neurodevelopmental disorders, related to pathogenic variants in other transporter and solute carrier genes
QA0.0131SLC6A1-related disorderCan lead a claimBEpilepsy
QA0.0139Neurodevelopmental disorder, related to pathogenic variant in other transporter or solute carrier geneCMS: Neurodev dis,rel to patho var in oth trnsper or sol car geneCan lead a claimBNone
QA0.014 Neurodevelopmental disorders, related to pathogenic variants in synapse related genes
QA0.0141Syntaxin-binding protein 1-related disorderCan lead a claimBNone
QA0.0142DLG4-related synaptopathyCan lead a claimBNone
QA0.0149Neurodevelopmental disorder, related to pathogenic variant in other synapse related geneCMS: Neurodev disord, rel to patho var in other synapse rel geneCan lead a claimBNone
QA0.015 Neurodevelopmental disorders, related to genes associated with transcription and gene expression
QA0.0151FOXG1 syndromeCan lead a claimBNone
QA0.0159Neurodevelopmental disorder, related to other genes associated with transcription and gene expressionCMS: Neurodev dis, rel to oth genes assoc w txn & gene expressionCan lead a claimBNone
QA0.8Other neurodevelopmental disorders related to pathogenic variants in other specific genesCMS: Other neurodev dis rel to patho var in other specific genesCan lead a claimBNone

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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