ICD-10 · PDGM grouping
O80-O82 — Encounter for delivery
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
2
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
None of the 2 codes in O80-O82 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in O80-O82
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 O80-O82
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| O80 | Encounter for full-term uncomplicated delivery | None | Cannot lead a claim |
| O82 | Encounter for cesarean delivery without indication | None | Cannot 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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