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

Z97 Presence of other devices

All 13 codes in the Z97 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

13

Can lead a claim

0

Cannot lead a claim

13

What CMS assigns to Z97

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 Z97

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z97.0Presence of artificial eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.1 Presence of artificial limb (complete) (partial)
Z97.10Presence of artificial limb (complete) (partial), unspecifiedCMS: Presence of artificial limb (complete) (partial), unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.11Presence of artificial right arm (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.12Presence of artificial left arm (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.13Presence of artificial right leg (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.14Presence of artificial left leg (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.15Presence of artificial arms, bilateral (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.16Presence of artificial legs, bilateral (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.2Presence of dental prosthetic device (complete) (partial)Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.3Presence of spectacles and contact lensesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.4Presence of external hearing-aidCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.5Presence of (intrauterine) contraceptive deviceCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z97.8Presence of other specified devicesCannot 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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