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

R80-R82 — Abnormal findings on examination of urine, without diagnosis

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

25

No clinical group

25

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 25 codes in R80-R82 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 R80-R82

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 R80-R82

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

CodeDescriptionClinical groupPrimary position
R800Isolated proteinuriaNoneCannot lead a claim
R801Persistent proteinuria, unspecifiedNoneCannot lead a claim
R802Orthostatic proteinuria, unspecifiedNoneCannot lead a claim
R803Bence Jones proteinuriaNoneCannot lead a claim
R808Other proteinuriaNoneCannot lead a claim
R809Proteinuria, unspecifiedNoneCannot lead a claim
R81GlycosuriaNoneCannot lead a claim
R820ChyluriaNoneCannot lead a claim
R821MyoglobinuriaNoneCannot lead a claim
R822BiliuriaNoneCannot lead a claim
R823HemoglobinuriaNoneCannot lead a claim
R824AcetonuriaNoneCannot lead a claim
R825Elevated urine levels of drug/meds/biol substNoneCannot lead a claim
R826Abnormal urine levels of substances chiefly nonmed sourceNoneCannot lead a claim
R8271BacteriuriaNoneCannot lead a claim
R8279Other abnormal findings on microbiolog examination of urineNoneCannot lead a claim
R8281PyuriaNoneCannot lead a claim
R8289Other abn findings on cytolog and histolog exam of urineNoneCannot lead a claim
R8290Unspecified abnormal findings in urineNoneCannot lead a claim
R8291Other chromoabnormalities of urineNoneCannot lead a claim
R82991HypocitraturiaNoneCannot lead a claim
R82992HyperoxaluriaNoneCannot lead a claim
R82993HyperuricosuriaNoneCannot lead a claim
R82994HypercalciuriaNoneCannot lead a claim
R82998Other abnormal findings in urineNoneCannot 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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