ICD-10 · PDGM grouping
Z60 Problems related to social environment
All 7 codes in the Z60 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
7
Can lead a claim
0
Cannot lead a claim
7
What CMS assigns to Z60
None of the 7 codes is assigned a clinical group. None of the 7 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z60
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 |
|---|---|---|---|---|
| Z60.0 | Problems of adjustment to life-cycle transitions | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.2 | Problems related to living alone | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.3 | Acculturation difficulty | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.4 | Social exclusion and rejection | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.5 | Target of (perceived) adverse discrimination and persecution | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.8 | Other problems related to social environment | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z60.9 | Problem related to social environment, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | 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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