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

W09 Fall on and from playground equipment

All 12 codes in the W09 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 W09

None of the 12 codes is assigned a clinical group. None of the 12 is assigned a comorbidity subgroup. None can lead a claim.

Every code in W09

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
W09.0 Fall on or from playground slide
W09.0XXAFall on or from playground slide, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.0XXDFall on or from playground slide, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.0XXSFall on or from playground slide, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.1 Fall from playground swing
W09.1XXAFall from playground swing, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.1XXDFall from playground swing, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.1XXSFall from playground swing, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.2 Fall on or from jungle gym
W09.2XXAFall on or from jungle gym, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.2XXDFall on or from jungle gym, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.2XXSFall on or from jungle gym, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.8 Fall on or from other playground equipment
W09.8XXAFall on or from other playground equipment, initial encounterCMS: Fall on or from other playground equipment, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.8XXDFall on or from other playground equipment, subsequent encounterCMS: Fall on or from other playground equipment, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
W09.8XXSFall on or from other playground equipment, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

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