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

X00 Exposure to uncontrolled fire in building or structure

All 21 codes in the X00 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

21

Can lead a claim

0

Cannot lead a claim

21

What CMS assigns to X00

None of the 21 codes is assigned a clinical group. None of the 21 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to all 21.

Code first

CMS grouper convention 12, on all 21 codes. Code first:

  • underlying disease

Every code in X00

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X00.0 Exposure to flames in uncontrolled fire in building or structure
X00.0XXAExposure to flames in uncontrolled fire in building or structure, initial encounterCMS: Exposure to flames in uncontrolled fire in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.0XXDExposure to flames in uncontrolled fire in building or structure, subsequent encounterCMS: Exposure to flames in uncontrolled fire in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.0XXSExposure to flames in uncontrolled fire in building or structure, sequelaCMS: Exposure to flames in uncontrolled fire in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.1 Exposure to smoke in uncontrolled fire in building or structure
X00.1XXAExposure to smoke in uncontrolled fire in building or structure, initial encounterCMS: Exposure to smoke in uncontrolled fire in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.1XXDExposure to smoke in uncontrolled fire in building or structure, subsequent encounterCMS: Exposure to smoke in uncontrolled fire in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.1XXSExposure to smoke in uncontrolled fire in building or structure, sequelaCMS: Exposure to smoke in uncontrolled fire in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.2 Injury due to collapse of burning building or structure in uncontrolled fire
X00.2XXAInjury due to collapse of burning building or structure in uncontrolled fire, initial encounterCMS: Injury due to collapse of burn bldg in uncntrld fire, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.2XXDInjury due to collapse of burning building or structure in uncontrolled fire, subsequent encounterCMS: Injury due to collapse of burn bldg in uncntrld fire, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.2XXSInjury due to collapse of burning building or structure in uncontrolled fire, sequelaCMS: Injury due to collapse of burn bldg in uncntrld fire, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.3 Fall from burning building or structure in uncontrolled fire
X00.3XXAFall from burning building or structure in uncontrolled fire, initial encounterCMS: Fall from burning bldg in uncontrolled fire, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.3XXDFall from burning building or structure in uncontrolled fire, subsequent encounterCMS: Fall from burning bldg in uncontrolled fire, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.3XXSFall from burning building or structure in uncontrolled fire, sequelaCMS: Fall from burning bldg in uncontrolled fire, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.4 Hit by object from burning building or structure in uncontrolled fire
X00.4XXAHit by object from burning building or structure in uncontrolled fire, initial encounterCMS: Hit by object from burning bldg in uncontrolled fire, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.4XXDHit by object from burning building or structure in uncontrolled fire, subsequent encounterCMS: Hit by object from burning bldg in uncontrolled fire, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.4XXSHit by object from burning building or structure in uncontrolled fire, sequelaCMS: Hit by object from burning bldg in uncntrld fire, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.5 Jump from burning building or structure in uncontrolled fire
X00.5XXAJump from burning building or structure in uncontrolled fire, initial encounterCMS: Jump from burning bldg in uncontrolled fire, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.5XXDJump from burning building or structure in uncontrolled fire, subsequent encounterCMS: Jump from burning bldg in uncontrolled fire, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.5XXSJump from burning building or structure in uncontrolled fire, sequelaCMS: Jump from burning bldg in uncontrolled fire, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.8 Other exposure to uncontrolled fire in building or structure
X00.8XXAOther exposure to uncontrolled fire in building or structure, initial encounterCMS: Oth exposure to uncontrolled fire in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.8XXDOther exposure to uncontrolled fire in building or structure, subsequent encounterCMS: Oth exposure to uncontrolled fire in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X00.8XXSOther exposure to uncontrolled fire in building or structure, sequelaCMS: Oth exposure to uncontrolled fire in bldg, 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.

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