ICD-10 · PDGM grouping

Z16-Z16 — Resistance to antimicrobial drugs

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

19

No clinical group

19

A period cannot be grouped from these.

Barred as primary

19

CMS rejects these in the primary position.

Where these codes group

None of the 19 codes in Z16-Z16 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.

Every code in Z16-Z16

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

CodeDescriptionClinical groupPrimary position
Z1610Resistance to unspecified beta lactam antibioticsNoneNot accepted
Z1611Resistance to penicillinsNoneNot accepted
Z1612Extended spectrum beta lactamase (ESBL) resistanceNoneNot accepted
Z1613Resistance to carbapenemNoneNot accepted
Z1619Resistance to other specified beta lactam antibioticsNoneNot accepted
Z1620Resistance to unspecified antibioticNoneNot accepted
Z1621Resistance to vancomycinNoneNot accepted
Z1622Resistance to vancomycin related antibioticsNoneNot accepted
Z1623Resistance to quinolones and fluoroquinolonesNoneNot accepted
Z1624Resistance to multiple antibioticsNoneNot accepted
Z1629Resistance to other single specified antibioticNoneNot accepted
Z1630Resistance to unspecified antimicrobial drugsNoneNot accepted
Z1631Resistance to antiparasitic drug(s)NoneNot accepted
Z1632Resistance to antifungal drug(s)NoneNot accepted
Z1633Resistance to antiviral drug(s)NoneNot accepted
Z16341Resistance to single antimycobacterial drugNoneNot accepted
Z16342Resistance to multiple antimycobacterial drugsNoneNot accepted
Z1635Resistance to multiple antimicrobial drugsNoneNot accepted
Z1639Resistance to other specified antimicrobial drugNoneNot accepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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