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
Lifetime rate: $24/mo

QA0-QA1 — Genetic disorders, not elsewhere classified

Codes in range

18

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

13 of the 18 codes in QA0-QA1 group to Neuro Rehabilitation. A further 5 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in QA0-QA1

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 QA0-QA1

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

CodeDescriptionClinical groupPrimary position
QA00101SCN2A-related neurodevelopmental disorderBCan lead a claim
QA00102CACNA1A-related neurodevelopmental disorderBCan lead a claim
QA00109Neurodev disord rel to patho var in other ion channel geneBCan lead a claim
QA0011Neurodev disord, rel to patho var in glutamate recept genesBCan lead a claim
QA0012Neurodev disord, related to patho var in other recept genesBCan lead a claim
QA00131SLC6A1-related disorderBCan lead a claim
QA00139Neurodev dis,rel to patho var in oth trnsper or sol car geneBCan lead a claim
QA00141Syntaxin-binding protein 1-related disorderBCan lead a claim
QA00142DLG4-related synaptopathyBCan lead a claim
QA00149Neurodev disord, rel to patho var in other synapse rel geneBCan lead a claim
QA00151FOXG1 syndromeBCan lead a claim
QA00159Neurodev dis, rel to oth genes assoc w txn & gene expressionBCan lead a claim
QA08Other neurodev dis rel to patho var in other specific genesBCan lead a claim
QA171Lynch syndromeNoneCannot lead a claim
QA1790Familial cancer syndrome with pathogenic BRCA1 mutationNoneCannot lead a claim
QA1791Familial cancer syndrome with pathogenic BRCA2 mutationNoneCannot lead a claim
QA1792Li Fraumeni syndromeNoneCannot lead a claim
QA1798Other inherited neoplm predisposition synd of mult systemsNoneCannot 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.