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

R50 Fever of other and unknown origin

All 6 codes in the R50 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

6

Can lead a claim

0

Cannot lead a claim

6

What CMS assigns to R50

None of the 6 codes is assigned a clinical group. None of the 6 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 1 of the 6.

Code first

CMS grouper convention 160, on R50.81. Code first:

  • leukemia (C91-C95)
  • neutropenia (D70.-)
  • sickle-cell disease (D57.-)
  • underlying condition when associated fever is present, such as with:

Every code in R50

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R50.2Drug induced feverCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R50.8 Other specified fever
R50.81Fever presenting with conditions classified elsewhereCannot lead a claimManifestation code is not reportable as principal diagnosisNoneNone
R50.82Postprocedural feverCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R50.83Postvaccination feverCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R50.84Febrile nonhemolytic transfusion reactionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R50.9Fever, 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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