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

Z84 Family history of other conditions

All 9 codes in the Z84 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

9

Can lead a claim

0

Cannot lead a claim

9

What CMS assigns to Z84

None of the 9 codes is assigned a clinical group. None of the 9 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z84

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z84.0Family history of diseases of the skin and subcutaneous tissueCMS: Family history of diseases of the skin, subcuCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.1 Family history of disorders of kidney and ureter
Z84.11Family history of APOL1-mediated kidney disease [AMKD]Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.19Family history of other disorders of kidney and ureterCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.2Family history of other diseases of the genitourinary systemCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.3Family history of consanguinityCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.8 Family history of other specified conditions
Z84.81Family history of carrier of genetic diseaseCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.82Family history of sudden infant death syndromeCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.89Family history of other specified conditionsCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z84.AFamily history of exposure to diethylstilbestrolCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone

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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue