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

Y63 Failure in dosage during surgical and medical care

All 9 codes in the Y63 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 Y63

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 Y63

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Y63.0Excessive amount of blood or other fluid given during transfusion or infusionCMS: Excess amount of bld or oth fluid given dur tranfs or infusnCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.1Incorrect dilution of fluid used during infusionCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.2Overdose of radiation given during therapyCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.3Inadvertent exposure of patient to radiation during medical careCMS: Inadvertent expsr of patient to radiation during med careCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.4Failure in dosage in electroshock or insulin-shock therapyCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.5Inappropriate temperature in local application and packingCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.6Underdosing and nonadministration of necessary drug, medicament or biological substanceCMS: Undrdose & nonadmin of necess drug, medicament or biolg subCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.8Failure in dosage during other surgical and medical careCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
Y63.9Failure in dosage during unspecified surgical and medical careCMS: Failure in dosage during unsp surgical and medical careCannot 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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