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

I95-I99 — Other and unspecified disorders of the circulatory system

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

49

No clinical group

2

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

43 of the 49 codes in I95-I99 group to MMTA - Cardiac and Circulatory, but the range is not uniform — it spreads across 3 clinical groups. A further 2 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in I95-I99

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 I95-I99

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

CodeDescriptionClinical groupPrimary position
I950Idiopathic hypotensionACan lead a claim
I951Orthostatic hypotensionACan lead a claim
I952Hypotension due to drugsHCan lead a claim
I953Hypotension of hemodialysisHCan lead a claim
I9581Postprocedural hypotensionHCan lead a claim
I9589Other hypotensionHCan lead a claim
I959Hypotension, unspecifiedNoneCannot lead a claim
I96Gangrene, not elsewhere classifiedCCan lead a claim
I970Postcardiotomy syndromeHCan lead a claim
I97110Postproc cardiac insufficiency following cardiac surgeryHCan lead a claim
I97111Postprocedural cardiac insufficiency following other surgeryHCan lead a claim
I97120Postprocedural cardiac arrest following cardiac surgeryHCan lead a claim
I97121Postprocedural cardiac arrest following other surgeryHCan lead a claim
I97130Postprocedural heart failure following cardiac surgeryHCan lead a claim
I97131Postprocedural heart failure following other surgeryHCan lead a claim
I97190Oth postproc cardiac functn disturb fol cardiac surgeryHCan lead a claim
I97191Oth postproc cardiac functn disturb following oth surgeryHCan lead a claim
I972Postmastectomy lymphedema syndromeCCan lead a claim
I973Postprocedural hypertensionHCan lead a claim
I97410Intraoperative hemor/hemtom of a circ sys org comp card cathHCan lead a claim
I97411Intraop hemor/hemtom of a circ sys org comp card bypassHCan lead a claim
I97418Intraop hemor/hemtom of circ sys org comp oth circ sys procHCan lead a claim
I9742Intraop hemor/hemtom of a circ sys org comp oth procedureHCan lead a claim
I9751Acc pnctr & lac of a circ sys org during a circ sys procHCan lead a claim
I9752Acc pnctr & lac of a circ sys org during oth procedureHCan lead a claim
I97610Postproc hemor of a circ sys org following a cardiac cathHCan lead a claim
I97611Postproc hemor of a circ sys org following cardiac bypassHCan lead a claim
I97618Postproc hemor of a circ sys org fol other circ sys procHCan lead a claim
I97620Postproc hemor of a circ sys org following other procedureHCan lead a claim
I97621Postproc hematoma of a circ sys org fol other procedureHCan lead a claim
I97622Postproc seroma of a circ sys org following other procedureHCan lead a claim
I97630Postproc hematoma of a circ sys org following a cardiac cathHCan lead a claim
I97631Postproc hematoma of a circ sys org following cardiac bypassHCan lead a claim
I97638Postproc hematoma of a circ sys org fol other circ sys procHCan lead a claim
I97640Postproc seroma of a circ sys org following a cardiac cathHCan lead a claim
I97641Postproc seroma of a circ sys org following cardiac bypassHCan lead a claim
I97648Postproc seroma of a circ sys org fol other circ sys procHCan lead a claim
I97710Intraoperative cardiac arrest during cardiac surgeryHCan lead a claim
I97711Intraoperative cardiac arrest during other surgeryHCan lead a claim
I97790Oth intraop cardiac functn disturb during cardiac surgeryHCan lead a claim
I97791Oth intraop cardiac functional disturb during oth surgeryHCan lead a claim
I97810Intraoperative cerebvasc infarction during cardiac surgeryHCan lead a claim
I97811Intraoperative cerebrovascular infarction during oth surgeryHCan lead a claim
I97820Postproc cerebvasc infarction following cardiac surgeryHCan lead a claim
I97821Postprocedural cerebvasc infarction following other surgeryHCan lead a claim
I9788Oth intraoperative complications of the circ sys, NECHCan lead a claim
I9789Oth postproc comp and disorders of the circ sys, NECHCan lead a claim
I998Other disorder of circulatory systemHCan lead a claim
I999Unspecified disorder of circulatory systemNoneCannot 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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