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

Q90-Q99 — Chromosomal abnormalities, 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

74

No clinical group

3

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

71 of the 74 codes in Q90-Q99 group to MMTA - Other. A further 3 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in Q90-Q99

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 Q90-Q99

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

CodeDescriptionClinical groupPrimary position
Q900Trisomy 21, nonmosaicism (meiotic nondisjunction)ACan lead a claim
Q901Trisomy 21, mosaicism (mitotic nondisjunction)ACan lead a claim
Q902Trisomy 21, translocationACan lead a claim
Q909Down syndrome, unspecifiedACan lead a claim
Q910Trisomy 18, nonmosaicism (meiotic nondisjunction)ACan lead a claim
Q911Trisomy 18, mosaicism (mitotic nondisjunction)ACan lead a claim
Q912Trisomy 18, translocationACan lead a claim
Q913Trisomy 18, unspecifiedACan lead a claim
Q914Trisomy 13, nonmosaicism (meiotic nondisjunction)ACan lead a claim
Q915Trisomy 13, mosaicism (mitotic nondisjunction)ACan lead a claim
Q916Trisomy 13, translocationACan lead a claim
Q917Trisomy 13, unspecifiedACan lead a claim
Q920Whole chromosome trisomy, nonmosaic (meiotic nondisjunction)ACan lead a claim
Q921Whole chromosome trisomy, mosaicism (mitotic nondisjunction)ACan lead a claim
Q922Partial trisomyACan lead a claim
Q925Duplications with other complex rearrangementsACan lead a claim
Q9261Marker chromosomes in normal individualACan lead a claim
Q9262Marker chromosomes in abnormal individualACan lead a claim
Q927Triploidy and polyploidyACan lead a claim
Q928Other specified trisomies and partial trisomies of autosomesACan lead a claim
Q929Trisomy and partial trisomy of autosomes, unspecifiedNoneCannot lead a claim
Q930Whole chromosome monosomy,nonmosaic (meiotic nondisjunction)ACan lead a claim
Q931Whole chromosome monosomy, mosaic (mitotic nondisjunction)ACan lead a claim
Q932Chromosome replaced with ring, dicentric or isochromosomeACan lead a claim
Q933Deletion of short arm of chromosome 4ACan lead a claim
Q934Deletion of short arm of chromosome 5ACan lead a claim
Q9351Angelman syndromeACan lead a claim
Q9352Phelan-McDermid syndromeACan lead a claim
Q9359Other deletions of part of a chromosomeACan lead a claim
Q937Deletions with other complex rearrangementsACan lead a claim
Q9381Velo-cardio-facial syndromeACan lead a claim
Q9382Williams syndromeACan lead a claim
Q9388Other microdeletionsACan lead a claim
Q9389Other deletions from the autosomesACan lead a claim
Q939Deletion from autosomes, unspecifiedNoneCannot lead a claim
Q950Balanced translocation and insertion in normal individualACan lead a claim
Q951Chromosome inversion in normal individualACan lead a claim
Q952Balanced autosomal rearrangement in abnormal individualACan lead a claim
Q953Balanced sex/autosomal rearrangement in abnormal individualACan lead a claim
Q955Individual with autosomal fragile siteACan lead a claim
Q958Other balanced rearrangements and structural markersACan lead a claim
Q959Balanced rearrangement and structural marker, unspecifiedACan lead a claim
Q960Karyotype 45, XACan lead a claim
Q961Karyotype 46, X iso (Xq)ACan lead a claim
Q962Karyotype 46, X w abnormal sex chromosome, except iso (Xq)ACan lead a claim
Q963Mosaicism, 45, X/46, XX or XYACan lead a claim
Q964Mosaic, 45, X/other cell line(s) w abnormal sex chromosomeACan lead a claim
Q968Other variants of Turner's syndromeACan lead a claim
Q969Turner's syndrome, unspecifiedACan lead a claim
Q970Karyotype 47, XXXACan lead a claim
Q971Female with more than three X chromosomesACan lead a claim
Q972Mosaicism, lines with various numbers of X chromosomesACan lead a claim
Q973Female with 46, XY karyotypeACan lead a claim
Q978Oth sex chromosome abnormalities, female phenotypeACan lead a claim
Q979Sex chromosome abnormality, female phenotype, unspecifiedACan lead a claim
Q980Klinefelter syndrome karyotype 47, XXYACan lead a claim
Q981Klinefelter syndrome, male with more than two X chromosomesACan lead a claim
Q983Other male with 46, XX karyotypeACan lead a claim
Q984Klinefelter syndrome, unspecifiedACan lead a claim
Q985Karyotype 47, XYYACan lead a claim
Q986Male with structurally abnormal sex chromosomeACan lead a claim
Q987Male with sex chromosome mosaicismACan lead a claim
Q988Other specified sex chromosome abnormalities, male phenotypeACan lead a claim
Q989Sex chromosome abnormality, male phenotype, unspecifiedACan lead a claim
Q990Chimera 46, XX/46, XYACan lead a claim
Q99146, XX true hermaphroditeACan lead a claim
Q992Fragile X chromosomeACan lead a claim
Q99811Usher syndrome, type 1ACan lead a claim
Q99812Usher syndrome, type 2ACan lead a claim
Q99813Usher syndrome, type 3ACan lead a claim
Q99818Other Usher syndromeACan lead a claim
Q99819Usher syndrome, unspecifiedACan lead a claim
Q9989Other specified chromosome abnormalitiesACan lead a claim
Q999Chromosomal abnormality, 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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