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

X94 Assault by rifle, shotgun and larger firearm discharge

All 15 codes in the X94 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 X94

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 X94

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
X94.0 Assault by shotgun
X94.0XXAAssault by shotgun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.0XXDAssault by shotgun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.0XXSAssault by shotgun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.1 Assault by hunting rifle
X94.1XXAAssault by hunting rifle, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.1XXDAssault by hunting rifle, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.1XXSAssault by hunting rifle, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.2 Assault by machine gun
X94.2XXAAssault by machine gun, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.2XXDAssault by machine gun, subsequent encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.2XXSAssault by machine gun, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.8 Assault by other larger firearm discharge
X94.8XXAAssault by other larger firearm discharge, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.8XXDAssault by other larger firearm discharge, subsequent encounterCMS: Assault by other larger firearm discharge, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.8XXSAssault by other larger firearm discharge, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.9 Assault by unspecified larger firearm discharge
X94.9XXAAssault by unspecified larger firearm discharge, initial encounterCMS: Assault by unspecified larger firearm discharge, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.9XXDAssault by unspecified larger firearm discharge, subsequent encounterCMS: Assault by unspecified larger firearm discharge, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
X94.9XXSAssault by unspecified larger firearm discharge, 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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