ICD-10 · PDGM grouping
X03 Exposure to controlled fire, not in building or structure
All 15 codes in the X03 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 X03
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 X03
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 |
|---|---|---|---|---|
| X03.0 Exposure to flames in controlled fire, not in building or structure | ||||
| X03.0XXA | Exposure to flames in controlled fire, not in building or structure, initial encounterCMS: Exposure to flames in controlled fire, not in bldg, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.0XXD | Exposure to flames in controlled fire, not in building or structure, subsequent encounterCMS: Exposure to flames in controlled fire, not in bldg, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.0XXS | Exposure to flames in controlled fire, not in building or structure, sequelaCMS: Exposure to flames in controlled fire, not in bldg, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.1 Exposure to smoke in controlled fire, not in building or structure | ||||
| X03.1XXA | Exposure to smoke in controlled fire, not in building or structure, initial encounterCMS: Exposure to smoke in controlled fire, not in bldg, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.1XXD | Exposure to smoke in controlled fire, not in building or structure, subsequent encounterCMS: Exposure to smoke in controlled fire, not in bldg, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.1XXS | Exposure to smoke in controlled fire, not in building or structure, sequelaCMS: Exposure to smoke in controlled fire, not in bldg, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.3 Fall due to controlled fire, not in building or structure | ||||
| X03.3XXA | Fall due to controlled fire, not in building or structure, initial encounterCMS: Fall due to controlled fire, not in bldg, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.3XXD | Fall due to controlled fire, not in building or structure, subsequent encounterCMS: Fall due to controlled fire, not in bldg, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.3XXS | Fall due to controlled fire, not in building or structure, sequelaCMS: Fall due to controlled fire, not in bldg, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.4 Hit by object due to controlled fire, not in building or structure | ||||
| X03.4XXA | Hit by object due to controlled fire, not in building or structure, initial encounterCMS: Hit by object due to controlled fire, not in bldg, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.4XXD | Hit by object due to controlled fire, not in building or structure, subsequent encounterCMS: Hit by object due to controlled fire, not in bldg, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.4XXS | Hit by object due to controlled fire, not in building or structure, sequelaCMS: Hit by object due to controlled fire, not in bldg, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.8 Other exposure to controlled fire, not in building or structure | ||||
| X03.8XXA | Other exposure to controlled fire, not in building or structure, initial encounterCMS: Oth exposure to controlled fire, not in bldg, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.8XXD | Other exposure to controlled fire, not in building or structure, subsequent encounterCMS: Oth exposure to controlled fire, not in bldg, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| X03.8XXS | Other exposure to controlled fire, not in building or structure, sequelaCMS: Oth exposure to controlled fire, not in bldg, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | 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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