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

Y28 Contact with sharp object, undetermined intent

All 15 codes in the Y28 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 Y28

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 Y28

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Y28.0 Contact with sharp glass, undetermined intent
Y28.0XXAContact with sharp glass, undetermined intent, initial encounterCMS: Contact with sharp glass, undetermined intent, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.0XXDContact with sharp glass, undetermined intent, subsequent encounterCMS: Contact with sharp glass, undetermined intent, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.0XXSContact with sharp glass, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.1 Contact with knife, undetermined intent
Y28.1XXAContact with knife, undetermined intent, initial encounterCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.1XXDContact with knife, undetermined intent, subsequent encounterCMS: Contact with knife, undetermined intent, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.1XXSContact with knife, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.2 Contact with sword or dagger, undetermined intent
Y28.2XXAContact with sword or dagger, undetermined intent, initial encounterCMS: Contact w sword or dagger, undetermined intent, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.2XXDContact with sword or dagger, undetermined intent, subsequent encounterCMS: Contact w sword or dagger, undetermined intent, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.2XXSContact with sword or dagger, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.8 Contact with other sharp object, undetermined intent
Y28.8XXAContact with other sharp object, undetermined intent, initial encounterCMS: Contact w oth sharp object, undetermined intent, init encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.8XXDContact with other sharp object, undetermined intent, subsequent encounterCMS: Contact w oth sharp object, undetermined intent, subs encntrCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.8XXSContact with other sharp object, undetermined intent, sequelaCMS: Contact with oth sharp object, undetermined intent, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.9 Contact with unspecified sharp object, undetermined intent
Y28.9XXAContact with unspecified sharp object, undetermined intent, initial encounterCMS: Contact w unsp sharp object, undetermined intent, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.9XXDContact with unspecified sharp object, undetermined intent, subsequent encounterCMS: Contact w unsp sharp object, undetermined intent, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y28.9XXSContact with unspecified sharp object, undetermined intent, sequelaCMS: Contact with unsp sharp object, undetermined intent, 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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