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

Z14-Z15 — Genetic carrier and genetic susceptibility to disease

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

18

No clinical group

18

A period cannot be grouped from these.

Barred as primary

5

CMS rejects these in the primary position.

Where these codes group

None of the 18 codes in Z14-Z15 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 Z14-Z15

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 Z14-Z15

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

CodeDescriptionClinical groupPrimary position
Z1401Asymptomatic hemophilia A carrierNoneCannot lead a claim
Z1402Symptomatic hemophilia A carrierNoneCannot lead a claim
Z141Cystic fibrosis carrierNoneCannot lead a claim
Z148Genetic carrier of other diseaseNoneCannot lead a claim
Z1501Genetic susceptibility to malignant neoplasm of breastNoneCannot lead a claim
Z1502Genetic susceptibility to malignant neoplasm of ovaryNoneCannot lead a claim
Z1503Genetic susceptibility to malignant neoplasm of prostateNoneCannot lead a claim
Z1504Genetic susceptibility to malignant neoplasm of endometriumNoneCannot lead a claim
Z1505Genetic susceptibility to malignant neoplasm of fallop(s)NoneCannot lead a claim
Z15060Genetic susceptibility to colorectal cancerNoneCannot lead a claim
Z15068Genetic susceptibility to other malig neoplasm of dgstv sysNoneCannot lead a claim
Z1507Genetic susceptibility to malig neoplasm of urinary tractNoneCannot lead a claim
Z1509Genetic susceptibility to other malignant neoplasmNoneCannot lead a claim
Z151Genetic susceptibility to epi and neurodevelopmental disordNoneCannot lead a claim
Z152Genetic susceptibility to obesityNoneCannot lead a claim
Z153Genetic susceptibility to kidney diseaseNoneCannot lead a claim
Z1581Genetic susceptibility to multiple endocrine neoplasia [MEN]NoneCannot lead a claim
Z1589Genetic susceptibility to other diseaseNoneCannot 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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