ICD-10 · PDGM grouping
Z75 Problems related to medical facilities and other health care
All 8 codes in the Z75 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
8
Can lead a claim
0
Cannot lead a claim
8
What CMS assigns to Z75
None of the 8 codes is assigned a clinical group. None of the 8 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z75
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 |
|---|---|---|---|---|
| Z75.0 | Medical services not available in home | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.1 | Person awaiting admission to adequate facility elsewhere | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.2 | Other waiting period for investigation and treatment | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.3 | Unavailability and inaccessibility of health-care facilities | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.4 | Unavailability and inaccessibility of other helping agencies | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.5 | Holiday relief care | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.8 | Other problems related to medical facilities and other health careCMS: Oth prob related to medical facilities and oth health care | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z75.9 | Unspecified problem related to medical facilities and other health careCMS: Unsp problem related to med facilities and oth health care | 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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