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

Z98 Other postprocedural states

All 23 codes in the Z98 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

23

Can lead a claim

0

Cannot lead a claim

23

What CMS assigns to Z98

None of the 23 codes is assigned a clinical group. None of the 23 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 1 of the 23.

Code first

CMS grouper convention 12, on Z98.3. Code first:

  • underlying disease

Every code in Z98

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z98.0Intestinal bypass and anastomosis statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.1Arthrodesis statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.2Presence of cerebrospinal fluid drainage deviceCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.3Post therapeutic collapse of lung statusCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z98.4 Cataract extraction status
Z98.41Cataract extraction status, right eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.42Cataract extraction status, left eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.49Cataract extraction status, unspecified eyeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.5 Sterilization status
Z98.51Tubal ligation statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.52Vasectomy statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.6 Angioplasty status
Z98.61Coronary angioplasty statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.62Peripheral vascular angioplasty statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.8 Other specified postprocedural states
Z98.81 Dental procedure status
Z98.810Dental sealant statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.811Dental restoration statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.818Other dental procedure statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.82Breast implant statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.83Filtering (vitreous) bleb after glaucoma surgery statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.84Bariatric surgery statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.85Transplanted organ removal statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.86Personal history of breast implant removalCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.87 Personal history of in utero procedure
Z98.870Personal history of in utero procedure during pregnancyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.871Personal history of in utero procedure while a fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.89 Other specified postprocedural states
Z98.890Other specified postprocedural statesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z98.891History of uterine scar from previous surgeryCannot 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