ICD-10 · PDGM grouping
Y64 Contaminated medical or biological substances
All 4 codes in the Y64 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.
Codes in family
4
Can lead a claim
0
Cannot lead a claim
4
What CMS assigns to Y64
None of the 4 codes is assigned a clinical group. None of the 4 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Y64
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Y64.0 | Contaminated medical or biological substance, transfused or infusedCMS: Contaminated med/biolog sub, transfused or infused | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| Y64.1 | Contaminated medical or biological substance, injected or used for immunizationCMS: Contaminated med/biolog sub, injected or used for immuniz | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| Y64.8 | Contaminated medical or biological substance administered by other meansCMS: Contaminated med/biolog sub administered by oth means | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| Y64.9 | Contaminated medical or biological substance administered by unspecified meansCMS: Contaminated med/biolog sub administered by unsp means | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
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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