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

X01 Exposure to uncontrolled fire, not in building or structure

All 15 codes in the X01 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

15

Can lead a claim

0

Cannot lead a claim

15

What CMS assigns to X01

None of the 15 codes is assigned a clinical group. None of the 15 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X01

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X01.0 Exposure to flames in uncontrolled fire, not in building or structure
X01.0XXAExposure to flames in uncontrolled fire, not in building or structure, initial encounterCMS: Exposure to flames in uncontrolled fire, not in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.0XXDExposure to flames in uncontrolled fire, not in building or structure, subsequent encounterCMS: Exposure to flames in uncontrolled fire, not in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.0XXSExposure to flames in uncontrolled fire, not in building or structure, sequelaCMS: Exposure to flames in uncntrld fire, not in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.1 Exposure to smoke in uncontrolled fire, not in building or structure
X01.1XXAExposure to smoke in uncontrolled fire, not in building or structure, initial encounterCMS: Exposure to smoke in uncontrolled fire, not in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.1XXDExposure to smoke in uncontrolled fire, not in building or structure, subsequent encounterCMS: Exposure to smoke in uncontrolled fire, not in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.1XXSExposure to smoke in uncontrolled fire, not in building or structure, sequelaCMS: Exposure to smoke in uncontrolled fire, not in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.3 Fall due to uncontrolled fire, not in building or structure
X01.3XXAFall due to uncontrolled fire, not in building or structure, initial encounterCMS: Fall due to uncontrolled fire, not in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.3XXDFall due to uncontrolled fire, not in building or structure, subsequent encounterCMS: Fall due to uncontrolled fire, not in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.3XXSFall due to uncontrolled fire, not in building or structure, sequelaCMS: Fall due to uncontrolled fire, not in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.4 Hit by object due to uncontrolled fire, not in building or structure
X01.4XXAHit by object due to uncontrolled fire, not in building or structure, initial encounterCMS: Hit by object due to uncontrolled fire, not in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.4XXDHit by object due to uncontrolled fire, not in building or structure, subsequent encounterCMS: Hit by object due to uncontrolled fire, not in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.4XXSHit by object due to uncontrolled fire, not in building or structure, sequelaCMS: Hit by object due to uncontrolled fire, not in bldg, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.8 Other exposure to uncontrolled fire, not in building or structure
X01.8XXAOther exposure to uncontrolled fire, not in building or structure, initial encounterCMS: Oth exposure to uncontrolled fire, not in bldg, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.8XXDOther exposure to uncontrolled fire, not in building or structure, subsequent encounterCMS: Oth exposure to uncontrolled fire, not in bldg, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X01.8XXSOther exposure to uncontrolled fire, not in building or structure, sequelaCMS: Oth exposure to uncontrolled fire, not 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.

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