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

E15-E16 — Other disorders of glucose regulation and pancreatic internal secretion

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

11

No clinical group

0

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

9 of the 11 codes in E15-E16 group to MMTA - Endocrine, but the range is not uniform — it spreads across 2 clinical groups. Every code here is assigned a group.

Code families in E15-E16

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 E15-E16

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

CodeDescriptionClinical groupPrimary position
E15Nondiabetic hypoglycemic comaACan lead a claim
E160Drug-induced hypoglycemia without comaICan lead a claim
E161Other hypoglycemiaICan lead a claim
E162Hypoglycemia, unspecifiedICan lead a claim
E163Increased secretion of glucagonACan lead a claim
E164Increased secretion of gastrinICan lead a claim
E168Other specified disorders of pancreatic internal secretionICan lead a claim
E169Disorder of pancreatic internal secretion, unspecifiedICan lead a claim
E16A1Hypoglycemia level 1ICan lead a claim
E16A2Hypoglycemia level 2ICan lead a claim
E16A3Hypoglycemia level 3ICan 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.

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