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

Z63 Other problems related to primary support group, including family circumstances

All 12 codes in the Z63 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 Z63

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 Z63

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z63.0Problems in relationship with spouse or partnerCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.1Problems in relationship with in-lawsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.3 Absence of family member
Z63.31Absence of family member due to military deploymentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.32Other absence of family memberCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.4Disappearance and death of family memberCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.5Disruption of family by separation and divorceCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.6Dependent relative needing care at homeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.7 Other stressful life events affecting family and household
Z63.71Stress on family due to return of family member from military deploymentCMS: Stress on fam d/t return of family member from miltry deployCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.72Alcoholism and drug addiction in familyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.79Other stressful life events affecting family and householdCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.8Other specified problems related to primary support groupCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z63.9Problem related to primary support group, unspecifiedCannot 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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