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

R76 Other abnormal immunological findings in serum

All 6 codes in the R76 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 R76

None of the 6 codes is assigned a clinical group. None of the 6 is assigned a comorbidity subgroup. None can lead a claim.

Every code in R76

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R76.0Raised antibody titerCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R76.1 Nonspecific reaction to test for tuberculosis
R76.11Nonspecific reaction to tuberculin skin test without active tuberculosisCMS: Nonspecific reaction to skin test w/o active tuberculosisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R76.12Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosisCMS: Nonspec reaction to gamma intrfrn respns w/o actv tubrclosisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R76.8 Other specified abnormal immunological findings in serum
R76.81Abnormal rheumatoid factor and anti-citrullinated protein antibody without rheumatoid arthritisCMS: Abn rheu fctr /anti-citrul protein antibody w/o rheu arthritCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R76.89Other specified abnormal immunological findings in serumCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R76.9Abnormal immunological finding in serum, 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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue