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

Z90 Acquired absence of organs, not elsewhere classified

All 22 codes in the Z90 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

22

Can lead a claim

0

Cannot lead a claim

22

What CMS assigns to Z90

None of the 22 codes is assigned a clinical group. None of the 22 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z90

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z90.0 Acquired absence of part of head and neck
Z90.01Acquired absence of eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.02Acquired absence of larynxCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.09Acquired absence of other part of head and neckCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.1 Acquired absence of breast and nipple
Z90.10Acquired absence of unspecified breast and nippleCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.11Acquired absence of right breast and nippleCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.12Acquired absence of left breast and nippleCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.13Acquired absence of bilateral breasts and nipplesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.2Acquired absence of lung [part of]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.3Acquired absence of stomach [part of]Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.4 Acquired absence of other specified parts of digestive tract
Z90.41 Acquired absence of pancreas
Z90.410Acquired total absence of pancreasCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.411Acquired partial absence of pancreasCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.49Acquired absence of other specified parts of digestive tractCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.5Acquired absence of kidneyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.6Acquired absence of other parts of urinary tractCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.7 Acquired absence of genital organ(s)
Z90.71 Acquired absence of cervix and uterus
Z90.710Acquired absence of both cervix and uterusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.711Acquired absence of uterus with remaining cervical stumpCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.712Acquired absence of cervix with remaining uterusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.72 Acquired absence of ovaries
Z90.721Acquired absence of ovaries, unilateralCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.722Acquired absence of ovaries, bilateralCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.79Acquired absence of other genital organ(s)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.8 Acquired absence of other organs
Z90.81Acquired absence of spleenCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z90.89Acquired absence of other organsCannot 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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