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

Z38 Liveborn infants according to place of birth and type of delivery

All 18 codes in the Z38 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

18

Can lead a claim

0

Cannot lead a claim

18

What CMS assigns to Z38

None of the 18 codes is assigned a clinical group. None of the 18 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z38

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z38.0 Single liveborn infant, born in hospital
Z38.00Single liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.01Single liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.1Single liveborn infant, born outside hospitalCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.2Single liveborn infant, unspecified as to place of birthCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.3 Twin liveborn infant, born in hospital
Z38.30Twin liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.31Twin liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.4Twin liveborn infant, born outside hospitalCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.5Twin liveborn infant, unspecified as to place of birthCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.6 Other multiple liveborn infant, born in hospital
Z38.61Triplet liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.62Triplet liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.63Quadruplet liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.64Quadruplet liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.65Quintuplet liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.66Quintuplet liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.68Other multiple liveborn infant, delivered vaginallyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.69Other multiple liveborn infant, delivered by cesareanCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.7Other multiple liveborn infant, born outside hospitalCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z38.8Other multiple liveborn infant, unspecified as to place of birthCMS: Other multiple liveborn infant, unsp as to place of birthCannot 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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