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

M99-M99 — Biomechanical lesions, not elsewhere classified

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

91

No clinical group

1

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

90 of the 91 codes in M99-M99 group to Musculoskeletal Rehabilitation. A further 1 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in M99-M99

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 M99-M99

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

CodeDescriptionClinical groupPrimary position
M9900Segmental and somatic dysfunction of head regionECan lead a claim
M9901Segmental and somatic dysfunction of cervical regionECan lead a claim
M9902Segmental and somatic dysfunction of thoracic regionECan lead a claim
M9903Segmental and somatic dysfunction of lumbar regionECan lead a claim
M9904Segmental and somatic dysfunction of sacral regionECan lead a claim
M9905Segmental and somatic dysfunction of pelvic regionECan lead a claim
M9906Segmental and somatic dysfunction of lower extremityECan lead a claim
M9907Segmental and somatic dysfunction of upper extremityECan lead a claim
M9908Segmental and somatic dysfunction of rib cageECan lead a claim
M9909Segmental and somatic dysfunction of abdomen and oth regionsECan lead a claim
M9910Subluxation complex (vertebral) of head regionECan lead a claim
M9911Subluxation complex (vertebral) of cervical regionECan lead a claim
M9912Subluxation complex (vertebral) of thoracic regionECan lead a claim
M9913Subluxation complex (vertebral) of lumbar regionECan lead a claim
M9914Subluxation complex (vertebral) of sacral regionECan lead a claim
M9915Subluxation complex (vertebral) of pelvic regionECan lead a claim
M9916Subluxation complex (vertebral) of lower extremityECan lead a claim
M9917Subluxation complex (vertebral) of upper extremityECan lead a claim
M9918Subluxation complex (vertebral) of rib cageECan lead a claim
M9919Subluxation complex (vertebral) of abdomen and other regionsECan lead a claim
M9920Subluxation stenosis of neural canal of head regionECan lead a claim
M9921Subluxation stenosis of neural canal of cervical regionECan lead a claim
M9922Subluxation stenosis of neural canal of thoracic regionECan lead a claim
M9923Subluxation stenosis of neural canal of lumbar regionECan lead a claim
M9924Subluxation stenosis of neural canal of sacral regionECan lead a claim
M9925Subluxation stenosis of neural canal of pelvic regionECan lead a claim
M9926Subluxation stenosis of neural canal of lower extremityECan lead a claim
M9927Subluxation stenosis of neural canal of upper extremityECan lead a claim
M9928Subluxation stenosis of neural canal of rib cageECan lead a claim
M9929Sublux stenosis of neural canal of abdomen and oth regionsECan lead a claim
M9930Osseous stenosis of neural canal of head regionECan lead a claim
M9931Osseous stenosis of neural canal of cervical regionECan lead a claim
M9932Osseous stenosis of neural canal of thoracic regionECan lead a claim
M9933Osseous stenosis of neural canal of lumbar regionECan lead a claim
M9934Osseous stenosis of neural canal of sacral regionECan lead a claim
M9935Osseous stenosis of neural canal of pelvic regionECan lead a claim
M9936Osseous stenosis of neural canal of lower extremityECan lead a claim
M9937Osseous stenosis of neural canal of upper extremityECan lead a claim
M9938Osseous stenosis of neural canal of rib cageECan lead a claim
M9939Osseous stenosis of neural canal of abdomen and oth regionsECan lead a claim
M9940Connective tissue stenosis of neural canal of head regionECan lead a claim
M9941Connective tiss stenosis of neural canal of cervical regionECan lead a claim
M9942Connective tiss stenosis of neural canal of thoracic regionECan lead a claim
M9943Connective tissue stenosis of neural canal of lumbar regionECan lead a claim
M9944Connective tissue stenosis of neural canal of sacral regionECan lead a claim
M9945Connective tissue stenosis of neural canal of pelvic regionECan lead a claim
M9946Connective tiss stenosis of neural canal of lower extremityECan lead a claim
M9947Connective tiss stenosis of neural canal of upper extremityECan lead a claim
M9948Connective tissue stenosis of neural canal of rib cageECan lead a claim
M9949Conn tiss stenos of neural canal of abdomen and oth regionsECan lead a claim
M9950Intervertebral disc stenosis of neural canal of head regionECan lead a claim
M9951Intvrt disc stenosis of neural canal of cervical regionECan lead a claim
M9952Intvrt disc stenosis of neural canal of thoracic regionECan lead a claim
M9953Intvrt disc stenosis of neural canal of lumbar regionECan lead a claim
M9954Intvrt disc stenosis of neural canal of sacral regionECan lead a claim
M9955Intvrt disc stenosis of neural canal of pelvic regionECan lead a claim
M9956Intervertebral disc stenosis of neural canal of low extrmECan lead a claim
M9957Intervertebral disc stenosis of neural canal of up extremECan lead a claim
M9958Intervertebral disc stenosis of neural canal of rib cageECan lead a claim
M9959Intvrt disc stenos of neural canal of abd and oth regionsECan lead a claim
M9960Osseous and sublux stenosis of intvrt foramin of head regionECan lead a claim
M9961Osseous and sublux stenosis of intvrt foramin of cerv regionECan lead a claim
M9962Osseous and sublux stenos of intvrt foramin of thor regionECan lead a claim
M9963Osseous and sublux stenos of intvrt foramin of lumbar regionECan lead a claim
M9964Osseous and sublux stenos of intvrt foramin of sacral regionECan lead a claim
M9965Osseous and sublux stenos of intvrt foramin of pelvic regionECan lead a claim
M9966Osseous and sublux stenosis of intvrt foramina of low extrmECan lead a claim
M9967Osseous and sublux stenosis of intvrt foramina of up extremECan lead a claim
M9968Osseous and sublux stenosis of intvrt foramina of rib cageECan lead a claim
M9969Osseous & sublux stenos of intvrt foramin of abd and oth rgnECan lead a claim
M9970Conn tiss and disc stenosis of intvrt foramin of head regionECan lead a claim
M9971Conn tiss and disc stenosis of intvrt foramin of cerv regionECan lead a claim
M9972Conn tiss and disc stenos of intvrt foramin of thor regionECan lead a claim
M9973Conn tiss and disc stenos of intvrt foramin of lumbar regionECan lead a claim
M9974Conn tiss and disc stenos of intvrt foramin of sacral regionECan lead a claim
M9975Conn tiss and disc stenos of intvrt foramin of pelvic regionECan lead a claim
M9976Conn tiss and disc stenosis of intvrt foramina of low extrmECan lead a claim
M9977Conn tiss and disc stenosis of intvrt foramina of up extremECan lead a claim
M9978Conn tiss and disc stenosis of intvrt foramina of rib cageECan lead a claim
M9979Conn tiss & disc stenos of intvrt foramin of abd and oth rgnECan lead a claim
M9980Other biomechanical lesions of head regionECan lead a claim
M9981Other biomechanical lesions of cervical regionECan lead a claim
M9982Other biomechanical lesions of thoracic regionECan lead a claim
M9983Other biomechanical lesions of lumbar regionECan lead a claim
M9984Other biomechanical lesions of sacral regionECan lead a claim
M9985Other biomechanical lesions of pelvic regionECan lead a claim
M9986Other biomechanical lesions of lower extremityECan lead a claim
M9987Other biomechanical lesions of upper extremityECan lead a claim
M9988Other biomechanical lesions of rib cageECan lead a claim
M9989Other biomechanical lesions of abdomen and other regionsECan lead a claim
M999Biomechanical lesion, unspecifiedNoneCannot 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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