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

Y83-Y84 — Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure

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

19

No clinical group

19

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 19 codes in Y83-Y84 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 Y83-Y84

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 Y83-Y84

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

CodeDescriptionClinical groupPrimary position
Y830Txplt of whole organ cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y831Implnt of artif int dev cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y832Anastomos,bypass or grft cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y833Form of external stoma cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y834Oth recnst surgery cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y835Amputation of limb(s) cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y836Remov org (total) cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y838Oth surgical procedures cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y839Surgical proc, unsp cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y840Cardiac catheterization cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y841Kidney dialysis cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y842Radiolog proc/radiothrpy cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y843Shock therapy cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y844Aspiration of fluid cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y845Insrt gastr/duodnl sound cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y846Urinary catheterization cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y847Blood-sampling cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y848Oth medical procedures cause abn react/compl, w/o misadvntNoneCannot lead a claim
Y849Medical procedure, unsp cause abn react/compl, w/o misadvntNoneCannot 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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