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

X37 Cataclysmic storm

All 27 codes in the X37 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

27

Can lead a claim

0

Cannot lead a claim

27

What CMS assigns to X37

None of the 27 codes is assigned a clinical group. None of the 27 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X37

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X37.0 Hurricane
X37.0XXAHurricane, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.0XXDHurricane, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.0XXSHurricane, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.1 Tornado
X37.1XXATornado, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.1XXDTornado, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.1XXSTornado, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.2 Blizzard (snow)(ice)
X37.2XXABlizzard (snow)(ice), initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.2XXDBlizzard (snow)(ice), subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.2XXSBlizzard (snow)(ice), sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.3 Dust storm
X37.3XXADust storm, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.3XXDDust storm, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.3XXSDust storm, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.4 Tidalwave
X37.41 Tidal wave due to earthquake or volcanic eruption
X37.41XATidal wave due to earthquake or volcanic eruption, initial encounterCMS: Tidal wave due to earthquake or volcanic eruption, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.41XDTidal wave due to earthquake or volcanic eruption, subsequent encounterCMS: Tidal wave due to earthquake or volcanic eruption, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.41XSTidal wave due to earthquake or volcanic eruption, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.42 Tidal wave due to storm
X37.42XATidal wave due to storm, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.42XDTidal wave due to storm, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.42XSTidal wave due to storm, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.43 Tidal wave due to landslide
X37.43XATidal wave due to landslide, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.43XDTidal wave due to landslide, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.43XSTidal wave due to landslide, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.8 Other cataclysmic storms
X37.8XXAOther cataclysmic storms, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.8XXDOther cataclysmic storms, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.8XXSOther cataclysmic storms, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.9 Unspecified cataclysmic storm
X37.9XXAUnspecified cataclysmic storm, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.9XXDUnspecified cataclysmic storm, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X37.9XXSUnspecified cataclysmic storm, 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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