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

X39 Exposure to other forces of nature

All 9 codes in the X39 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

9

Can lead a claim

0

Cannot lead a claim

9

What CMS assigns to X39

None of the 9 codes is assigned a clinical group. None of the 9 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X39

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X39.0 Exposure to natural radiation
X39.01 Exposure to radon
X39.01XAExposure to radon, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.01XDExposure to radon, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.01XSExposure to radon, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.08 Exposure to other natural radiation
X39.08XAExposure to other natural radiation, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.08XDExposure to other natural radiation, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.08XSExposure to other natural radiation, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.8 Other exposure to forces of nature
X39.8XXAOther exposure to forces of nature, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.8XXDOther exposure to forces of nature, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X39.8XXSOther exposure to forces of nature, 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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