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

F80-F89 — Pervasive and specific developmental disorders

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

22

No clinical group

8

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

14 of the 22 codes in F80-F89 group to Behavioral Health. A further 8 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in F80-F89

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 F80-F89

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

CodeDescriptionClinical groupPrimary position
F800Phonological disorderFCan lead a claim
F801Expressive language disorderFCan lead a claim
F802Mixed receptive-expressive language disorderFCan lead a claim
F804Speech and language development delay due to hearing lossFCan lead a claim
F8081Childhood onset fluency disorderFCan lead a claim
F8082Social pragmatic communication disorderFCan lead a claim
F8089Other developmental disorders of speech and languageFCan lead a claim
F809Developmental disorder of speech and language, unspecifiedNoneCannot lead a claim
F810Specific reading disorderNoneCannot lead a claim
F812Mathematics disorderNoneCannot lead a claim
F8181Disorder of written expressionNoneCannot lead a claim
F8189Other developmental disorders of scholastic skillsNoneCannot lead a claim
F819Developmental disorder of scholastic skills, unspecifiedNoneCannot lead a claim
F82Specific developmental disorder of motor functionFCan lead a claim
F840Autistic disorderFCan lead a claim
F842Rett's syndromeFCan lead a claim
F843Other childhood disintegrative disorderFCan lead a claim
F845Asperger's syndromeFCan lead a claim
F848Other pervasive developmental disordersFCan lead a claim
F849Pervasive developmental disorder, unspecifiedNoneCannot lead a claim
F88Other disorders of psychological developmentFCan lead a claim
F89Unspecified disorder of psychological developmentNoneCannot 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