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

A30-A49 — Other bacterial diseases

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in range

115

No clinical group

7

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

100 of the 115 codes in A30-A49 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases, but the range is not uniform — it spreads across 3 clinical groups. A further 7 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in A30-A49

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in A30-A49

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
A300Indeterminate leprosyKCan lead a claim
A301Tuberculoid leprosyKCan lead a claim
A302Borderline tuberculoid leprosyKCan lead a claim
A303Borderline leprosyKCan lead a claim
A304Borderline lepromatous leprosyKCan lead a claim
A305Lepromatous leprosyKCan lead a claim
A308Other forms of leprosyKCan lead a claim
A309Leprosy, unspecifiedKCan lead a claim
A310Pulmonary mycobacterial infectionKCan lead a claim
A311Cutaneous mycobacterial infectionKCan lead a claim
A312Dissem mycobacterium avium-intracellulare complex (DMAC)KCan lead a claim
A318Other mycobacterial infectionsKCan lead a claim
A319Mycobacterial infection, unspecifiedKCan lead a claim
A320Cutaneous listeriosisKCan lead a claim
A3211Listerial meningitisBCan lead a claim
A3212Listerial meningoencephalitisBCan lead a claim
A327Listerial sepsisKCan lead a claim
A3281Oculoglandular listeriosisKCan lead a claim
A3282Listerial endocarditisKCan lead a claim
A3289Other forms of listeriosisKCan lead a claim
A329Listeriosis, unspecifiedKCan lead a claim
A33Tetanus neonatorumKCan lead a claim
A34Obstetrical tetanusKCan lead a claim
A35Other tetanusKCan lead a claim
A360Pharyngeal diphtheriaKCan lead a claim
A361Nasopharyngeal diphtheriaKCan lead a claim
A362Laryngeal diphtheriaKCan lead a claim
A363Cutaneous diphtheriaKCan lead a claim
A3681Diphtheritic cardiomyopathyKCan lead a claim
A3682Diphtheritic radiculomyelitisKCan lead a claim
A3683Diphtheritic polyneuritisKCan lead a claim
A3684Diphtheritic tubulo-interstitial nephropathyKCan lead a claim
A3685Diphtheritic cystitisKCan lead a claim
A3686Diphtheritic conjunctivitisKCan lead a claim
A3689Other diphtheritic complicationsKCan lead a claim
A369Diphtheria, unspecifiedKCan lead a claim
A3700Whooping cough due to Bordetella pertussis without pneumoniaKCan lead a claim
A3701Whooping cough due to Bordetella pertussis with pneumoniaKCan lead a claim
A3710Whooping cough due to Bordetella parapertussis w/o pneumoniaKCan lead a claim
A3711Whooping cough due to Bordetella parapertussis w pneumoniaKCan lead a claim
A3780Whooping cough due to other Bordetella species w/o pneumoniaKCan lead a claim
A3781Whooping cough due to oth Bordetella species with pneumoniaKCan lead a claim
A3790Whooping cough, unspecified species without pneumoniaKCan lead a claim
A3791Whooping cough, unspecified species with pneumoniaKCan lead a claim
A380Scarlet fever with otitis mediaKCan lead a claim
A381Scarlet fever with myocarditisKCan lead a claim
A388Scarlet fever with other complicationsKCan lead a claim
A389Scarlet fever, uncomplicatedKCan lead a claim
A390Meningococcal meningitisBCan lead a claim
A391Waterhouse-Friderichsen syndromeKCan lead a claim
A392Acute meningococcemiaKCan lead a claim
A393Chronic meningococcemiaKCan lead a claim
A394Meningococcemia, unspecifiedKCan lead a claim
A3950Meningococcal carditis, unspecifiedKCan lead a claim
A3951Meningococcal endocarditisKCan lead a claim
A3952Meningococcal myocarditisKCan lead a claim
A3953Meningococcal pericarditisKCan lead a claim
A3981Meningococcal encephalitisBCan lead a claim
A3982Meningococcal retrobulbar neuritisKCan lead a claim
A3983Meningococcal arthritisKCan lead a claim
A3984Postmeningococcal arthritisKCan lead a claim
A3989Other meningococcal infectionsKCan lead a claim
A399Meningococcal infection, unspecifiedKCan lead a claim
A400Sepsis due to streptococcus, group AKCan lead a claim, code first applies
A401Sepsis due to streptococcus, group BKCan lead a claim, code first applies
A403Sepsis due to Streptococcus pneumoniaeKCan lead a claim, code first applies
A408Other streptococcal sepsisKCan lead a claim, code first applies
A409Streptococcal sepsis, unspecifiedKCan lead a claim, code first applies
A4101Sepsis due to Methicillin susceptible Staphylococcus aureusKCan lead a claim, code first applies
A4102Sepsis due to Methicillin resistant Staphylococcus aureusKCan lead a claim, code first applies
A411Sepsis due to other specified staphylococcusKCan lead a claim, code first applies
A412Sepsis due to unspecified staphylococcusKCan lead a claim, code first applies
A413Sepsis due to Hemophilus influenzaeKCan lead a claim, code first applies
A414Sepsis due to anaerobesKCan lead a claim, code first applies
A4150Gram-negative sepsis, unspecifiedKCan lead a claim, code first applies
A4151Sepsis due to Escherichia coli [E. coli]KCan lead a claim, code first applies
A4152Sepsis due to PseudomonasKCan lead a claim, code first applies
A4153Sepsis due to SerratiaKCan lead a claim, code first applies
A4154Sepsis due to Acinetobacter baumanniiKCan lead a claim, code first applies
A4159Other Gram-negative sepsisKCan lead a claim, code first applies
A4181Sepsis due to EnterococcusKCan lead a claim, code first applies
A4189Other specified sepsisKCan lead a claim, code first applies
A419Sepsis, unspecified organismKCan lead a claim, code first applies
A420Pulmonary actinomycosisKCan lead a claim
A421Abdominal actinomycosisKCan lead a claim
A422Cervicofacial actinomycosisKCan lead a claim
A427Actinomycotic sepsisKCan lead a claim
A4281Actinomycotic meningitisBCan lead a claim
A4282Actinomycotic encephalitisBCan lead a claim
A4289Other forms of actinomycosisKCan lead a claim
A429Actinomycosis, unspecifiedKCan lead a claim
A430Pulmonary nocardiosisKCan lead a claim
A431Cutaneous nocardiosisKCan lead a claim
A438Other forms of nocardiosisKCan lead a claim
A439Nocardiosis, unspecifiedKCan lead a claim
A440Systemic bartonellosisKCan lead a claim
A441Cutaneous and mucocutaneous bartonellosisKCan lead a claim
A448Other forms of bartonellosisKCan lead a claim
A449Bartonellosis, unspecifiedKCan lead a claim
A46ErysipelasKCan lead a claim
A480Gas gangreneCCan lead a claim
A481Legionnaires' diseaseKCan lead a claim
A482Nonpneumonic Legionnaires' disease [Pontiac fever]KCan lead a claim
A483Toxic shock syndromeKCan lead a claim
A484Brazilian purpuric feverKCan lead a claim
A4851Infant botulismKCan lead a claim
A4852Wound botulismCCan lead a claim
A488Other specified bacterial diseasesKCan lead a claim
A4901Methicillin suscep staph infection, unsp siteNoneCannot lead a claim
A4902Methicillin resis staph infection, unsp siteNoneCannot lead a claim
A491Streptococcal infection, unspecified siteNoneCannot lead a claim
A492Hemophilus influenzae infection, unspecified siteNoneCannot lead a claim
A493Mycoplasma infection, unspecified siteNoneCannot lead a claim
A498Other bacterial infections of unspecified siteNoneCannot lead a claim
A499Bacterial infection, unspecifiedNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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