ICD-10 · PDGM grouping

J85-J86 — Suppurative and necrotic conditions of the lower respiratory tract

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

6

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

6 of the 6 codes in J85-J86 group to MMTA - Respiratory. Every code here is assigned a group.

Every code in J85-J86

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

CodeDescriptionClinical groupPrimary position
J850Gangrene and necrosis of lungLAccepted
J851Abscess of lung with pneumoniaLAccepted
J852Abscess of lung without pneumoniaLAccepted
J853Abscess of mediastinumLAccepted
J860Pyothorax with fistulaLAccepted
J869Pyothorax without fistulaLAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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