ICD-10 · PDGM grouping
Z95 Presence of cardiac and vascular implants and grafts
All 13 codes in the Z95 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
13
Can lead a claim
0
Cannot lead a claim
13
What CMS assigns to Z95
None of the 13 codes is assigned a clinical group. None of the 13 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z95
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 |
|---|---|---|---|---|
| Z95.0 | Presence of cardiac pacemaker | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.1 | Presence of aortocoronary bypass graft | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.2 | Presence of prosthetic heart valve | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.3 | Presence of xenogenic heart valve | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.4 | Presence of other heart-valve replacement | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.5 | Presence of coronary angioplasty implant and graft | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.8 Presence of other cardiac and vascular implants and grafts | ||||
| Z95.81 Presence of other cardiac implants and grafts | ||||
| Z95.810 | Presence of automatic (implantable) cardiac defibrillator | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.811 | Presence of heart assist device | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.812 | Presence of fully implantable artificial heart | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.818 | Presence of other cardiac implants and grafts | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.82 Presence of other vascular implants and grafts | ||||
| Z95.820 | Peripheral vascular angioplasty status with implants and graftsCMS: Peripheral vascular angioplasty status w implants and grafts | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.828 | Presence of other vascular implants and grafts | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z95.9 | Presence of cardiac and vascular implant and graft, unspecifiedCMS: Presence of cardiac and vascular implant and graft, unsp | 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.
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