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

U07 Emergency use of U07

All 2 codes in the U07 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

2

Can lead a claim

2

Cannot lead a claim

0

What CMS assigns to U07

All 2 codes group to MMTA - Respiratory. 1 of the 2 counts toward the 2019 Novel Coronavirus comorbidity subgroup; 1 is assigned none. Every code can lead a claim.

  • 2019 Novel Coronavirus

Every code in U07

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
U07.0Vaping-related disorderCan lead a claimLNone
U07.1COVID-19Can lead a claimL2019 Novel Coronavirus

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