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

X50 Overexertion and strenuous or repetitive movements

All 12 codes in the X50 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

12

Can lead a claim

0

Cannot lead a claim

12

What CMS assigns to X50

None of the 12 codes is assigned a clinical group. None of the 12 is assigned a comorbidity subgroup. None can lead a claim.

Every code in X50

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X50.0 Overexertion from strenuous movement or load
X50.0XXAOverexertion from strenuous movement or load, initial encounterCMS: Overexertion from strenuous movement or load, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.0XXDOverexertion from strenuous movement or load, subsequent encounterCMS: Overexertion from strenuous movement or load, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.0XXSOverexertion from strenuous movement or load, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.1 Overexertion from prolonged static or awkward postures
X50.1XXAOverexertion from prolonged static or awkward postures, initial encounterCMS: Overexertion from prolonged static or awkward postures, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.1XXDOverexertion from prolonged static or awkward postures, subsequent encounterCMS: Overexertion from prolonged static or awkward postures, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.1XXSOverexertion from prolonged static or awkward postures, sequelaCMS: Overexertion from prolonged static or awkward postures, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.3 Overexertion from repetitive movements
X50.3XXAOverexertion from repetitive movements, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.3XXDOverexertion from repetitive movements, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.3XXSOverexertion from repetitive movements, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.9 Other and unspecified overexertion or strenuous movements or postures
X50.9XXAOther and unspecified overexertion or strenuous movements or postures, initial encounterCMS: Other and unspecified ovrexrtn or strnous move/pstr, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.9XXDOther and unspecified overexertion or strenuous movements or postures, subsequent encounterCMS: Other and unspecified ovrexrtn or strnous move/pstr, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X50.9XXSOther and unspecified overexertion or strenuous movements or postures, sequelaCMS: Other and unspecified ovrexrtn or strnous move/pstr, 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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