ICD-10 · PDGM grouping
Y62-Y69 — Complications of medical and surgical care
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.
Codes in range
33
No clinical group
33
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 33 codes in Y62-Y69 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 Y62-Y69
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- Y62Failure of sterile precautions during surgical and medical care9 codes
- Y63Failure in dosage during surgical and medical care9 codes
- Y64Contaminated medical or biological substances4 codes
- Y65Other misadventures during surgical and medical care9 codes
- Y66Nonadministration of surgical and medical care1 code
- Y69Unspecified misadventure during surgical and medical care1 code
Every code in Y62-Y69
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Y620 | Failure of sterile precautions during surgical operation | None | Cannot lead a claim |
| Y621 | Failure of sterile precautions during infusn/transfusn | None | Cannot lead a claim |
| Y622 | Fail of steril precaut dur kidney dialysis and oth perfusion | None | Cannot lead a claim |
| Y623 | Failure of steril precaut during injection or immunization | None | Cannot lead a claim |
| Y624 | Failure of sterile precautions during endoscopic examination | None | Cannot lead a claim |
| Y625 | Failure of sterile precautions during heart catheterization | None | Cannot lead a claim |
| Y626 | Failure of steril precaut during aspirat, pnctr and oth cath | None | Cannot lead a claim |
| Y628 | Failure of steril precaut during oth surg and medical care | None | Cannot lead a claim |
| Y629 | Failure of steril precaut during unsp surg and medical care | None | Cannot lead a claim |
| Y630 | Excess amount of bld or oth fluid given dur tranfs or infusn | None | Cannot lead a claim |
| Y631 | Incorrect dilution of fluid used during infusion | None | Cannot lead a claim |
| Y632 | Overdose of radiation given during therapy | None | Cannot lead a claim |
| Y633 | Inadvertent expsr of patient to radiation during med care | None | Cannot lead a claim |
| Y634 | Failure in dosage in electroshock or insulin-shock therapy | None | Cannot lead a claim |
| Y635 | Inappropriate temperature in local application and packing | None | Cannot lead a claim |
| Y636 | Undrdose & nonadmin of necess drug, medicament or biolg sub | None | Cannot lead a claim |
| Y638 | Failure in dosage during other surgical and medical care | None | Cannot lead a claim |
| Y639 | Failure in dosage during unsp surgical and medical care | None | Cannot lead a claim |
| Y640 | Contaminated med/biolog sub, transfused or infused | None | Cannot lead a claim |
| Y641 | Contaminated med/biolog sub, injected or used for immuniz | None | Cannot lead a claim |
| Y648 | Contaminated med/biolog sub administered by oth means | None | Cannot lead a claim |
| Y649 | Contaminated med/biolog sub administered by unsp means | None | Cannot lead a claim |
| Y650 | Mismatched blood in transfusion | None | Cannot lead a claim |
| Y651 | Wrong fluid used in infusion | None | Cannot lead a claim |
| Y652 | Failure in suture or ligature during surgical operation | None | Cannot lead a claim |
| Y653 | Endotracheal tube wrongly placed during anesthetic procedure | None | Cannot lead a claim |
| Y654 | Failure to introduce or to remove other tube or instrument | None | Cannot lead a claim |
| Y6551 | Performance of wrong procedure (op) on correct patient | None | Cannot lead a claim |
| Y6552 | Perform of proc (op) on patient not scheduled for surgery | None | Cannot lead a claim |
| Y6553 | Perform of correct procedure (op) on wrong side or body part | None | Cannot lead a claim |
| Y658 | Oth misadventures during surgical and medical care | None | Cannot lead a claim |
| Y66 | Nonadministration of surgical and medical care | None | Cannot lead a claim |
| Y69 | Unspecified misadventure during surgical and medical care | 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue