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

Z93 Artificial opening status

All 12 codes in the Z93 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

12

Can lead a claim

0

Cannot lead a claim

12

What CMS assigns to Z93

None of the 12 codes is assigned a clinical group. None of the 12 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z93

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z93.0Tracheostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.1Gastrostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.2Ileostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.3Colostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.4Other artificial openings of gastrointestinal tract statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.5 Cystostomy status
Z93.50Unspecified cystostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.51Cutaneous-vesicostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.52Appendico-vesicostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.59Other cystostomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.6Other artificial openings of urinary tract statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.8Other artificial opening statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z93.9Artificial opening status, 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.

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