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

Z34 Encounter for supervision of normal pregnancy

All 12 codes in the Z34 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 Z34

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 Z34

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z34.0 Encounter for supervision of normal first pregnancy
Z34.00Encounter for supervision of normal first pregnancy, unspecified trimesterCMS: Encntr for suprvsn of normal first pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.01Encounter for supervision of normal first pregnancy, first trimesterCMS: Encntr for suprvsn of normal first preg, first trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.02Encounter for supervision of normal first pregnancy, second trimesterCMS: Encntr for suprvsn of normal first preg, second trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.03Encounter for supervision of normal first pregnancy, third trimesterCMS: Encntr for suprvsn of normal first preg, third trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.8 Encounter for supervision of other normal pregnancy
Z34.80Encounter for supervision of other normal pregnancy, unspecified trimesterCMS: Encounter for suprvsn of normal pregnancy, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.81Encounter for supervision of other normal pregnancy, first trimesterCMS: Encounter for suprvsn of normal pregnancy, first trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.82Encounter for supervision of other normal pregnancy, second trimesterCMS: Encounter for suprvsn of normal pregnancy, second trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.83Encounter for supervision of other normal pregnancy, third trimesterCMS: Encounter for suprvsn of normal pregnancy, third trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.9 Encounter for supervision of normal pregnancy, unspecified
Z34.90Encounter for supervision of normal pregnancy, unspecified, unspecified trimesterCMS: Encntr for suprvsn of normal pregnancy, unsp, unsp trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.91Encounter for supervision of normal pregnancy, unspecified, first trimesterCMS: Encntr for suprvsn of normal preg, unsp, first trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.92Encounter for supervision of normal pregnancy, unspecified, second trimesterCMS: Encntr for suprvsn of normal preg, unsp, second trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z34.93Encounter for supervision of normal pregnancy, unspecified, third trimesterCMS: Encntr for suprvsn of normal preg, unsp, third trimesterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

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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