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 v07.2.26.
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.
Code families in J85-J86
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 J85-J86
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| J850 | Gangrene and necrosis of lung | L | Can lead a claim |
| J851 | Abscess of lung with pneumonia | L | Can lead a claim |
| J852 | Abscess of lung without pneumonia | L | Can lead a claim |
| J853 | Abscess of mediastinum | L | Can lead a claim |
| J860 | Pyothorax with fistula | L | Can lead a claim |
| J869 | Pyothorax without fistula | L | Can 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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