ICD-10 · PDGM grouping
T16 Foreign body in ear
All 9 codes in the T16 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.
Codes in family
9
Can lead a claim
6
Cannot lead a claim
3
What CMS assigns to T16
6 of the 9 codes group to MMTA - Other; 3 are assigned no clinical group. None of the 9 is assigned a comorbidity subgroup. 6 of the 9 can lead a claim.
Every code in T16
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T16.1 Foreign body in right ear | ||||
| T16.1XXA | Foreign body in right ear, initial encounter | Can lead a claim | A | None |
| T16.1XXD | Foreign body in right ear, subsequent encounter | Can lead a claim | A | None |
| T16.1XXS | Foreign body in right ear, sequela | Can lead a claim | A | None |
| T16.2 Foreign body in left ear | ||||
| T16.2XXA | Foreign body in left ear, initial encounter | Can lead a claim | A | None |
| T16.2XXD | Foreign body in left ear, subsequent encounter | Can lead a claim | A | None |
| T16.2XXS | Foreign body in left ear, sequela | Can lead a claim | A | None |
| T16.9 Foreign body in ear, unspecified ear | ||||
| T16.9XXA | Foreign body in ear, unspecified ear, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T16.9XXD | Foreign body in ear, unspecified ear, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T16.9XXS | Foreign body in ear, unspecified ear, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
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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