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

Z18-Z18 — Retained foreign body fragments

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

14

No clinical group

14

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 14 codes in Z18-Z18 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 Z18-Z18

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 Z18-Z18

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

CodeDescriptionClinical groupPrimary position
Z1801Retained depleted uranium fragmentsNoneCannot lead a claim
Z1809Other retained radioactive fragmentsNoneCannot lead a claim
Z1810Retained metal fragments, unspecifiedNoneCannot lead a claim
Z1811Retained magnetic metal fragmentsNoneCannot lead a claim
Z1812Retained nonmagnetic metal fragmentsNoneCannot lead a claim
Z182Retained plastic fragmentsNoneCannot lead a claim
Z1831Retained animal quills or spinesNoneCannot lead a claim
Z1832Retained toothNoneCannot lead a claim
Z1833Retained wood fragmentsNoneCannot lead a claim
Z1839Other retained organic fragmentsNoneCannot lead a claim
Z1881Retained glass fragmentsNoneCannot lead a claim
Z1883Retained stone or crystalline fragmentsNoneCannot lead a claim
Z1889Other specified retained foreign body fragmentsNoneCannot lead a claim
Z189Retained foreign body fragments, unspecified materialNoneCannot 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