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

R00 Abnormalities of heart beat

All 5 codes in the R00 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

5

Can lead a claim

0

Cannot lead a claim

5

What CMS assigns to R00

None of the 5 codes is assigned a clinical group. 1 of the 5 counts toward the Dysrhythmias, includes Atrial fibrillation and Atrial flutter comorbidity subgroup; 4 are assigned none. None can lead a claim.

  • Dysrhythmias, includes Atrial fibrillation and Atrial flutter: can award the low comorbidity tier as a secondary diagnosis.

Every code in R00

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R00.0Tachycardia, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R00.1Bradycardia, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneDysrhythmias, includes Atrial fibrillation and Atrial flutter
R00.2PalpitationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R00.8Other abnormalities of heart beatCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R00.9Unspecified abnormalities of heart beatCannot 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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