ICD-10 · PDGM grouping
X00-X08 — Exposure to smoke, fire and flames
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
120
No clinical group
120
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 120 codes in X00-X08 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 X00-X08
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- X00Exposure to uncontrolled fire in building or structure21 codes
- X01Exposure to uncontrolled fire, not in building or structure15 codes
- X02Exposure to controlled fire in building or structure21 codes
- X03Exposure to controlled fire, not in building or structure15 codes
- X04Exposure to ignition of highly flammable material3 codes
- X05Exposure to ignition or melting of nightwear3 codes
- X06Exposure to ignition or melting of other clothing and apparel12 codes
- X08Exposure to other specified smoke, fire and flames30 codes
Every code in X00-X08
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| X000XXA | Exposure to flames in uncontrolled fire in bldg, init | None | Cannot lead a claim |
| X000XXD | Exposure to flames in uncontrolled fire in bldg, subs | None | Cannot lead a claim |
| X000XXS | Exposure to flames in uncontrolled fire in bldg, sequela | None | Cannot lead a claim |
| X001XXA | Exposure to smoke in uncontrolled fire in bldg, init | None | Cannot lead a claim |
| X001XXD | Exposure to smoke in uncontrolled fire in bldg, subs | None | Cannot lead a claim |
| X001XXS | Exposure to smoke in uncontrolled fire in bldg, sequela | None | Cannot lead a claim |
| X002XXA | Injury due to collapse of burn bldg in uncntrld fire, init | None | Cannot lead a claim |
| X002XXD | Injury due to collapse of burn bldg in uncntrld fire, subs | None | Cannot lead a claim |
| X002XXS | Injury due to collapse of burn bldg in uncntrld fire, sqla | None | Cannot lead a claim |
| X003XXA | Fall from burning bldg in uncontrolled fire, init | None | Cannot lead a claim |
| X003XXD | Fall from burning bldg in uncontrolled fire, subs | None | Cannot lead a claim |
| X003XXS | Fall from burning bldg in uncontrolled fire, sequela | None | Cannot lead a claim |
| X004XXA | Hit by object from burning bldg in uncontrolled fire, init | None | Cannot lead a claim |
| X004XXD | Hit by object from burning bldg in uncontrolled fire, subs | None | Cannot lead a claim |
| X004XXS | Hit by object from burning bldg in uncntrld fire, sequela | None | Cannot lead a claim |
| X005XXA | Jump from burning bldg in uncontrolled fire, init | None | Cannot lead a claim |
| X005XXD | Jump from burning bldg in uncontrolled fire, subs | None | Cannot lead a claim |
| X005XXS | Jump from burning bldg in uncontrolled fire, sequela | None | Cannot lead a claim |
| X008XXA | Oth exposure to uncontrolled fire in bldg, init | None | Cannot lead a claim |
| X008XXD | Oth exposure to uncontrolled fire in bldg, subs | None | Cannot lead a claim |
| X008XXS | Oth exposure to uncontrolled fire in bldg, sequela | None | Cannot lead a claim |
| X010XXA | Exposure to flames in uncontrolled fire, not in bldg, init | None | Cannot lead a claim |
| X010XXD | Exposure to flames in uncontrolled fire, not in bldg, subs | None | Cannot lead a claim |
| X010XXS | Exposure to flames in uncntrld fire, not in bldg, sequela | None | Cannot lead a claim |
| X011XXA | Exposure to smoke in uncontrolled fire, not in bldg, init | None | Cannot lead a claim |
| X011XXD | Exposure to smoke in uncontrolled fire, not in bldg, subs | None | Cannot lead a claim |
| X011XXS | Exposure to smoke in uncontrolled fire, not in bldg, sequela | None | Cannot lead a claim |
| X013XXA | Fall due to uncontrolled fire, not in bldg, init | None | Cannot lead a claim |
| X013XXD | Fall due to uncontrolled fire, not in bldg, subs | None | Cannot lead a claim |
| X013XXS | Fall due to uncontrolled fire, not in bldg, sequela | None | Cannot lead a claim |
| X014XXA | Hit by object due to uncontrolled fire, not in bldg, init | None | Cannot lead a claim |
| X014XXD | Hit by object due to uncontrolled fire, not in bldg, subs | None | Cannot lead a claim |
| X014XXS | Hit by object due to uncontrolled fire, not in bldg, sequela | None | Cannot lead a claim |
| X018XXA | Oth exposure to uncontrolled fire, not in bldg, init | None | Cannot lead a claim |
| X018XXD | Oth exposure to uncontrolled fire, not in bldg, subs | None | Cannot lead a claim |
| X018XXS | Oth exposure to uncontrolled fire, not in bldg, sequela | None | Cannot lead a claim |
| X020XXA | Exposure to flames in controlled fire in bldg, init | None | Cannot lead a claim |
| X020XXD | Exposure to flames in controlled fire in bldg, subs | None | Cannot lead a claim |
| X020XXS | Exposure to flames in controlled fire in bldg, sequela | None | Cannot lead a claim |
| X021XXA | Exposure to smoke in controlled fire in bldg, init | None | Cannot lead a claim |
| X021XXD | Exposure to smoke in controlled fire in bldg, subs | None | Cannot lead a claim |
| X021XXS | Exposure to smoke in controlled fire in bldg, sequela | None | Cannot lead a claim |
| X022XXA | Injury due to collapse of burning bldg in ctrl fire, init | None | Cannot lead a claim |
| X022XXD | Injury due to collapse of burning bldg in ctrl fire, subs | None | Cannot lead a claim |
| X022XXS | Injury due to collapse of burning bldg in ctrl fire, sequela | None | Cannot lead a claim |
| X023XXA | Fall from burning bldg in controlled fire, init | None | Cannot lead a claim |
| X023XXD | Fall from burning bldg in controlled fire, subs | None | Cannot lead a claim |
| X023XXS | Fall from burning bldg in controlled fire, sequela | None | Cannot lead a claim |
| X024XXA | Hit by object from burning bldg in controlled fire, init | None | Cannot lead a claim |
| X024XXD | Hit by object from burning bldg in controlled fire, subs | None | Cannot lead a claim |
| X024XXS | Hit by object from burning bldg in controlled fire, sequela | None | Cannot lead a claim |
| X025XXA | Jump from burning bldg in controlled fire, init | None | Cannot lead a claim |
| X025XXD | Jump from burning bldg in controlled fire, subs | None | Cannot lead a claim |
| X025XXS | Jump from burning bldg in controlled fire, sequela | None | Cannot lead a claim |
| X028XXA | Oth exposure to controlled fire in bldg, init | None | Cannot lead a claim |
| X028XXD | Oth exposure to controlled fire in bldg, subs | None | Cannot lead a claim |
| X028XXS | Oth exposure to controlled fire in bldg, sequela | None | Cannot lead a claim |
| X030XXA | Exposure to flames in controlled fire, not in bldg, init | None | Cannot lead a claim |
| X030XXD | Exposure to flames in controlled fire, not in bldg, subs | None | Cannot lead a claim |
| X030XXS | Exposure to flames in controlled fire, not in bldg, sequela | None | Cannot lead a claim |
| X031XXA | Exposure to smoke in controlled fire, not in bldg, init | None | Cannot lead a claim |
| X031XXD | Exposure to smoke in controlled fire, not in bldg, subs | None | Cannot lead a claim |
| X031XXS | Exposure to smoke in controlled fire, not in bldg, sequela | None | Cannot lead a claim |
| X033XXA | Fall due to controlled fire, not in bldg, init | None | Cannot lead a claim |
| X033XXD | Fall due to controlled fire, not in bldg, subs | None | Cannot lead a claim |
| X033XXS | Fall due to controlled fire, not in bldg, sequela | None | Cannot lead a claim |
| X034XXA | Hit by object due to controlled fire, not in bldg, init | None | Cannot lead a claim |
| X034XXD | Hit by object due to controlled fire, not in bldg, subs | None | Cannot lead a claim |
| X034XXS | Hit by object due to controlled fire, not in bldg, sequela | None | Cannot lead a claim |
| X038XXA | Oth exposure to controlled fire, not in bldg, init | None | Cannot lead a claim |
| X038XXD | Oth exposure to controlled fire, not in bldg, subs | None | Cannot lead a claim |
| X038XXS | Oth exposure to controlled fire, not in bldg, sequela | None | Cannot lead a claim |
| X04XXXA | Exposure to ignition of highly flammable material, init | None | Cannot lead a claim |
| X04XXXD | Exposure to ignition of highly flammable material, subs | None | Cannot lead a claim |
| X04XXXS | Exposure to ignition of highly flammable material, sequela | None | Cannot lead a claim |
| X05XXXA | Exposure to ignition or melting of nightwear, init encntr | None | Cannot lead a claim |
| X05XXXD | Exposure to ignition or melting of nightwear, subs encntr | None | Cannot lead a claim |
| X05XXXS | Exposure to ignition or melting of nightwear, sequela | None | Cannot lead a claim |
| X060XXA | Exposure to ignition of plastic jewelry, initial encounter | None | Cannot lead a claim |
| X060XXD | Exposure to ignition of plastic jewelry, subs encntr | None | Cannot lead a claim |
| X060XXS | Exposure to ignition of plastic jewelry, sequela | None | Cannot lead a claim |
| X061XXA | Exposure to melting of plastic jewelry, initial encounter | None | Cannot lead a claim |
| X061XXD | Exposure to melting of plastic jewelry, subsequent encounter | None | Cannot lead a claim |
| X061XXS | Exposure to melting of plastic jewelry, sequela | None | Cannot lead a claim |
| X062XXA | Exposure to ignition of oth clothing and apparel, init | None | Cannot lead a claim |
| X062XXD | Exposure to ignition of oth clothing and apparel, subs | None | Cannot lead a claim |
| X062XXS | Exposure to ignition of other clothing and apparel, sequela | None | Cannot lead a claim |
| X063XXA | Exposure to melting of oth clothing and apparel, init encntr | None | Cannot lead a claim |
| X063XXD | Exposure to melting of oth clothing and apparel, subs encntr | None | Cannot lead a claim |
| X063XXS | Exposure to melting of other clothing and apparel, sequela | None | Cannot lead a claim |
| X0800XA | Exposure to bed fire due to unsp burning material, init | None | Cannot lead a claim |
| X0800XD | Exposure to bed fire due to unsp burning material, subs | None | Cannot lead a claim |
| X0800XS | Exposure to bed fire due to unsp burning material, sequela | None | Cannot lead a claim |
| X0801XA | Exposure to bed fire due to burning cigarette, init encntr | None | Cannot lead a claim |
| X0801XD | Exposure to bed fire due to burning cigarette, subs encntr | None | Cannot lead a claim |
| X0801XS | Exposure to bed fire due to burning cigarette, sequela | None | Cannot lead a claim |
| X0809XA | Exposure to bed fire due to oth burning material, init | None | Cannot lead a claim |
| X0809XD | Exposure to bed fire due to oth burning material, subs | None | Cannot lead a claim |
| X0809XS | Exposure to bed fire due to other burning material, sequela | None | Cannot lead a claim |
| X0810XA | Exposure to sofa fire due to unsp burning material, init | None | Cannot lead a claim |
| X0810XD | Exposure to sofa fire due to unsp burning material, subs | None | Cannot lead a claim |
| X0810XS | Exposure to sofa fire due to unsp burning material, sequela | None | Cannot lead a claim |
| X0811XA | Exposure to sofa fire due to burning cigarette, init encntr | None | Cannot lead a claim |
| X0811XD | Exposure to sofa fire due to burning cigarette, subs encntr | None | Cannot lead a claim |
| X0811XS | Exposure to sofa fire due to burning cigarette, sequela | None | Cannot lead a claim |
| X0819XA | Exposure to sofa fire due to oth burning material, init | None | Cannot lead a claim |
| X0819XD | Exposure to sofa fire due to oth burning material, subs | None | Cannot lead a claim |
| X0819XS | Exposure to sofa fire due to other burning material, sequela | None | Cannot lead a claim |
| X0820XA | Expsr to oth furniture fire due to unsp burn material, init | None | Cannot lead a claim |
| X0820XD | Expsr to oth furniture fire due to unsp burn material, subs | None | Cannot lead a claim |
| X0820XS | Expsr to oth furniture fire due to unsp burn material, sqla | None | Cannot lead a claim |
| X0821XA | Expsr to oth furniture fire due to burning cigarette, init | None | Cannot lead a claim |
| X0821XD | Expsr to oth furniture fire due to burning cigarette, subs | None | Cannot lead a claim |
| X0821XS | Expsr to oth furniture fire due to burn cigarette, sequela | None | Cannot lead a claim |
| X0829XA | Expsr to oth furniture fire due to oth burn material, init | None | Cannot lead a claim |
| X0829XD | Expsr to oth furniture fire due to oth burn material, subs | None | Cannot lead a claim |
| X0829XS | Expsr to oth furniture fire due to oth burn material, sqla | None | Cannot lead a claim |
| X088XXA | Exposure to oth smoke, fire and flames, init encntr | None | Cannot lead a claim |
| X088XXD | Exposure to oth smoke, fire and flames, subs encntr | None | Cannot lead a claim |
| X088XXS | Exposure to other specified smoke, fire and flames, sequela | None | Cannot 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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