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

P19-P29 — Respiratory and cardiovascular disorders specific to the perinatal period

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

70

No clinical group

6

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

64 of the 70 codes in P19-P29 group to MMTA - Other. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in P19-P29

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 P19-P29

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

CodeDescriptionClinical groupPrimary position
P190Metabolic acidemia in newborn first noted before onset laborACan lead a claim
P191Metabolic acidemia in newborn first noted during laborACan lead a claim
P192Metabolic acidemia noted at birthACan lead a claim
P199Metabolic acidemia in newborn, unspecifiedACan lead a claim
P220Respiratory distress syndrome of newbornACan lead a claim
P221Transient tachypnea of newbornACan lead a claim
P228Other respiratory distress of newbornACan lead a claim
P229Respiratory distress of newborn, unspecifiedACan lead a claim
P230Congenital pneumonia due to viral agentACan lead a claim
P231Congenital pneumonia due to ChlamydiaACan lead a claim
P232Congenital pneumonia due to staphylococcusACan lead a claim
P233Congenital pneumonia due to streptococcus, group BACan lead a claim
P234Congenital pneumonia due to Escherichia coliACan lead a claim
P235Congenital pneumonia due to PseudomonasACan lead a claim
P236Congenital pneumonia due to other bacterial agentsACan lead a claim
P238Congenital pneumonia due to other organismsACan lead a claim
P239Congenital pneumonia, unspecifiedNoneCannot lead a claim
P2400Meconium aspiration without respiratory symptomsACan lead a claim
P2401Meconium aspiration with respiratory symptomsACan lead a claim
P2410Neonatal aspirat of amnio fluid and mucus w/o resp sympACan lead a claim
P2411Neonatal aspirat of amnio fluid and mucus w resp sympACan lead a claim
P2420Neonatal aspiration of blood without respiratory symptomsACan lead a claim
P2421Neonatal aspiration of blood with respiratory symptomsACan lead a claim
P2430Neonatal aspirat of milk and regurgitated food w/o resp sympACan lead a claim
P2431Neonatal aspirat of milk and regurgitated food w resp sympACan lead a claim
P2480Other neonatal aspiration without respiratory symptomsACan lead a claim
P2481Other neonatal aspiration with respiratory symptomsACan lead a claim
P249Neonatal aspiration, unspecifiedACan lead a claim
P250Interstitial emphysema originating in the perinatal periodACan lead a claim
P251Pneumothorax originating in the perinatal periodACan lead a claim
P252Pneumomediastinum originating in the perinatal periodACan lead a claim
P253Pneumopericardium originating in the perinatal periodACan lead a claim
P258Oth cond rel to interstit emphysema origin in perinat periodACan lead a claim
P260Tracheobronchial hemorrhage origin in the perinatal periodACan lead a claim
P261Massive pulmonary hemorrhage origin in the perinatal periodACan lead a claim
P268Oth pulmonary hemorrhages origin in the perinatal periodACan lead a claim
P269Unsp pulmonary hemorrhage origin in the perinatal periodACan lead a claim
P270Wilson-Mikity syndromeACan lead a claim
P271Bronchopulmonary dysplasia origin in the perinatal periodACan lead a claim
P278Oth chronic resp diseases origin in the perinatal periodACan lead a claim
P279Unsp chronic resp disease origin in the perinatal periodNoneCannot lead a claim
P280Primary atelectasis of newbornACan lead a claim
P2810Unspecified atelectasis of newbornACan lead a claim
P2811Resorption atelectasis without respiratory distress syndromeACan lead a claim
P2819Other atelectasis of newbornACan lead a claim
P282Cyanotic attacks of newbornACan lead a claim
P2830Primary sleep apnea of newborn, unspecifiedACan lead a claim
P2831Primary central sleep apnea of newbornACan lead a claim
P2832Primary obstructive sleep apnea of newbornACan lead a claim
P2833Primary mixed sleep apnea of newbornACan lead a claim
P2839Other primary sleep apnea of newbornACan lead a claim
P2840Unspecified apnea of newbornACan lead a claim
P2841Central neonatal apnea of newbornACan lead a claim
P2842Obstructive apnea of newbornACan lead a claim
P2843Mixed neonatal apnea of newbornACan lead a claim
P2849Other apnea of newbornACan lead a claim
P285Respiratory failure of newbornACan lead a claim
P2881Respiratory arrest of newbornACan lead a claim
P2889Other specified respiratory conditions of newbornACan lead a claim
P289Respiratory condition of newborn, unspecifiedNoneCannot lead a claim
P290Neonatal cardiac failureACan lead a claim
P2911Neonatal tachycardiaACan lead a claim
P2912Neonatal bradycardiaACan lead a claim
P292Neonatal hypertensionACan lead a claim
P2930Pulmonary hypertension of newbornNoneCannot lead a claim
P2938Other persistent fetal circulationNoneCannot lead a claim
P294Transient myocardial ischemia in newbornACan lead a claim
P2981Cardiac arrest of newbornACan lead a claim
P2989Oth cardiovasc disorders originating in the perinatal periodACan lead a claim
P299Cardiovasc disorder origin in the perinatal period, unspNoneCannot 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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