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

Z73 Problems related to life management difficulty

All 14 codes in the Z73 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

14

Can lead a claim

0

Cannot lead a claim

14

What CMS assigns to Z73

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 Z73

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z73.0Burn-outCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.1Type A behavior patternCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.2Lack of relaxation and leisureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.3Stress, not elsewhere classifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.4Inadequate social skills, not elsewhere classifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.5Social role conflict, not elsewhere classifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.6Limitation of activities due to disabilityCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.8 Other problems related to life management difficulty
Z73.81 Behavioral insomnia of childhood
Z73.810Behavioral insomnia of childhood, sleep-onset association typeCMS: Behavioral insomnia of childhood, sleep-onset assoc typeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.811Behavioral insomnia of childhood, limit setting typeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.812Behavioral insomnia of childhood, combined typeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.819Behavioral insomnia of childhood, unspecified typeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.82Dual sensory impairmentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.89Other problems related to life management difficultyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z73.9Problem related to life management difficulty, 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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