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

R30-R39 — Symptoms and signs involving the genitourinary system

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

42

No clinical group

42

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 42 codes in R30-R39 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 R30-R39

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 R30-R39

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

CodeDescriptionClinical groupPrimary position
R300DysuriaNoneCannot lead a claim
R301Vesical tenesmusNoneCannot lead a claim
R309Painful micturition, unspecifiedNoneCannot lead a claim
R310Gross hematuriaNoneCannot lead a claim
R311Benign essential microscopic hematuriaNoneCannot lead a claim
R3121Asymptomatic microscopic hematuriaNoneCannot lead a claim
R3129Other microscopic hematuriaNoneCannot lead a claim
R319Hematuria, unspecifiedNoneCannot lead a claim
R32Unspecified urinary incontinenceNoneCannot lead a claim
R330Drug induced retention of urineNoneCannot lead a claim
R338Other retention of urineNoneCannot lead a claim
R339Retention of urine, unspecifiedNoneCannot lead a claim
R34Anuria and oliguriaNoneCannot lead a claim
R350Frequency of micturitionNoneCannot lead a claim
R351NocturiaNoneCannot lead a claim
R3581Nocturnal polyuriaNoneCannot lead a claim
R3589Other polyuriaNoneCannot lead a claim
R360Urethral discharge without bloodNoneCannot lead a claim
R361HematospermiaNoneCannot lead a claim
R369Urethral discharge, unspecifiedNoneCannot lead a claim
R37Sexual dysfunction, unspecifiedNoneCannot lead a claim
R390Extravasation of urineNoneCannot lead a claim
R3911Hesitancy of micturitionNoneCannot lead a claim
R3912Poor urinary streamNoneCannot lead a claim
R3913Splitting of urinary streamNoneCannot lead a claim
R3914Feeling of incomplete bladder emptyingNoneCannot lead a claim
R3915Urgency of urinationNoneCannot lead a claim
R3916Straining to voidNoneCannot lead a claim
R39191Need to immediately re-voidNoneCannot lead a claim
R39192Position dependent micturitionNoneCannot lead a claim
R39198Other difficulties with micturitionNoneCannot lead a claim
R392Extrarenal uremiaNoneCannot lead a claim
R3981Functional urinary incontinenceNoneCannot lead a claim
R3982Chronic bladder painNoneCannot lead a claim
R3983Unilateral non-palpable testicleNoneCannot lead a claim
R3984Bilateral non-palpable testiclesNoneCannot lead a claim
R39851Costovertebral (angle) tenderness, right sideNoneCannot lead a claim
R39852Costovertebral (angle) tenderness, left sideNoneCannot lead a claim
R39853Costovertebral (angle) tenderness, bilateralNoneCannot lead a claim
R39859Costovertebral (angle) tenderness, unspecified sideNoneCannot lead a claim
R3989Other symptoms and signs involving the genitourinary systemNoneCannot lead a claim
R399Unsp symptoms and signs involving the genitourinary systemNoneCannot 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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