ICD-10 · PDGM grouping
Z72 Problems related to lifestyle
All 14 codes in the Z72 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
14
Can lead a claim
0
Cannot lead a claim
14
What CMS assigns to Z72
None of the 14 codes is assigned a clinical group. None of the 14 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z72
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 |
|---|---|---|---|---|
| Z72.0 | Tobacco use | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.3 | Lack of physical exercise | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.4 | Inappropriate diet and eating habits | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.5 High risk sexual behavior | ||||
| Z72.51 | High risk heterosexual behavior | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.52 | High risk homosexual behavior | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.53 | High risk bisexual behavior | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.6 | Gambling and betting | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.8 Other problems related to lifestyle | ||||
| Z72.81 Antisocial behavior | ||||
| Z72.810 | Child and adolescent antisocial behavior | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.811 | Adult antisocial behavior | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.82 Problems related to sleep | ||||
| Z72.820 | Sleep deprivation | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.821 | Inadequate sleep hygiene | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.823 | Risk of suffocation (smothering) under another while sleepingCMS: Risk of suffocation (smothering) under another wh sleeping | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z72.89 | Other problems related to lifestyle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z72.9 | Problem related to lifestyle, 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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