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

N25-N29 — Other disorders of kidney and ureter

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

5

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

12 of the 22 codes in N25-N29 group to MMTA - Gastrointestinal tract and Genitourinary system, but the range is not uniform — it spreads across 2 clinical groups. A further 5 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in N25-N29

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 N25-N29

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

CodeDescriptionClinical groupPrimary position
N250Renal osteodystrophyJCan lead a claim
N251Nephrogenic diabetes insipidusJCan lead a claim
N2581Secondary hyperparathyroidism of renal originJCan lead a claim
N2589Oth disorders resulting from impaired renal tubular functionJCan lead a claim
N259Disorder rslt from impaired renal tubular function, unspNoneCannot lead a claim
N261Atrophy of kidney (terminal)JCan lead a claim
N262Page kidneyACan lead a claim
N269Renal sclerosis, unspecifiedNoneCannot lead a claim
N270Small kidney, unilateralACan lead a claim
N271Small kidney, bilateralACan lead a claim
N279Small kidney, unspecifiedNoneCannot lead a claim
N280Ischemia and infarction of kidneyJCan lead a claim
N281Cyst of kidney, acquiredJCan lead a claim
N2881Hypertrophy of kidneyACan lead a claim
N2882MegaloureterJCan lead a claim
N2883NephroptosisACan lead a claim
N2884Pyelitis cysticaJCan lead a claim
N2885Pyeloureteritis cysticaJCan lead a claim
N2886Ureteritis cysticaJCan lead a claim
N2889Other specified disorders of kidney and ureterJCan lead a claim
N289Disorder of kidney and ureter, unspecifiedNoneCannot lead a claim
N29Oth disorders of kidney and ureter in diseases classd elswhrNoneCannot 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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