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

R68 Other general symptoms and signs

All 12 codes in the R68 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

12

Can lead a claim

0

Cannot lead a claim

12

What CMS assigns to R68

None of the 12 codes is assigned a clinical group. None of the 12 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 1 of the 12.

Code first

CMS grouper convention 12, on R68.13. Code first:

  • underlying disease

Every code in R68

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R68.0Hypothermia, not associated with low environmental temperatureCMS: Hypothermia, not associated w low environmental temperatureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.1 Nonspecific symptoms peculiar to infancy
R68.11Excessive crying of infant (baby)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.12Fussy infant (baby)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.13Apparent life threatening event in infant (ALTE)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.19Other nonspecific symptoms peculiar to infancyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.2Dry mouth, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.3Clubbing of fingersCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.8 Other general symptoms and signs
R68.81Early satietyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.82Decreased libidoCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.83Chills (without fever)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.84Jaw painCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R68.89Other general symptoms and signsCannot 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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