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

Z20-Z29 — Persons with potential health hazards related to communicable diseases

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

65

No clinical group

64

A period cannot be grouped from these.

Barred as primary

3

CMS rejects these in the primary position.

Where these codes group

1 of the 65 codes in Z20-Z29 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. A further 64 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in Z20-Z29

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 Z20-Z29

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

CodeDescriptionClinical groupPrimary position
Z2001Cntct w and expsr to intestnl infct dis d/t E coli (E. coli)NoneCannot lead a claim
Z2009Contact w and exposure to oth intestinal infectious diseasesNoneCannot lead a claim
Z201Contact with and (suspected) exposure to tuberculosisNoneCannot lead a claim
Z202Contact w and exposure to infect w a sexl mode of transmissNoneCannot lead a claim
Z203Contact with and (suspected) exposure to rabiesNoneCannot lead a claim
Z204Contact with and (suspected) exposure to rubellaNoneCannot lead a claim
Z205Contact with and (suspected) exposure to viral hepatitisNoneCannot lead a claim
Z206Contact w and (suspected) exposure to human immunodef virusNoneCannot lead a claim
Z207Cntct w & expsr to pediculosis, acariasis & oth infestationsNoneCannot lead a claim
Z20810Contact with and (suspected) exposure to anthraxNoneCannot lead a claim
Z20811Contact with and (suspected) exposure to meningococcusNoneCannot lead a claim
Z20818Contact w and exposure to oth bact communicable diseasesNoneCannot lead a claim
Z20820Contact with and (suspected) exposure to varicellaNoneCannot lead a claim
Z20821Contact with and (suspected) exposure to Zika virusNoneCannot lead a claim
Z20822Contact with and (suspected) exposure to COVID-19KCan lead a claim
Z20828Contact w and exposure to oth viral communicable diseasesNoneCannot lead a claim
Z2089Contact w and exposure to oth communicable diseasesNoneCannot lead a claim
Z209Contact w and exposure to unsp communicable diseaseNoneCannot lead a claim
Z21Asymptomatic human immunodeficiency virus infection statusNoneCannot lead a claim
Z220Carrier of typhoidNoneCannot lead a claim
Z221Carrier of other intestinal infectious diseasesNoneCannot lead a claim
Z222Carrier of diphtheriaNoneCannot lead a claim
Z2231Carrier of bacterial disease due to meningococciNoneCannot lead a claim
Z22321Carrier or suspected carrier of methicillin suscep staphNoneCannot lead a claim
Z22322Carrier or suspected carrier of methicillin resis staphNoneCannot lead a claim
Z22330Carrier of Group B streptococcusNoneCannot lead a claim
Z22338Carrier of other streptococcusNoneCannot lead a claim
Z22340Carrier of carbapenem-resistant Acinetobacter baumanniiNoneCannot lead a claim
Z22341Carrier of carbapenem-sensitive Acinetobacter baumanniiNoneCannot lead a claim
Z22349Carrier of Acinetobacter baumannii, unspecifiedNoneCannot lead a claim
Z22350Carrier of carbapenem-resistant EnterobacteralesNoneCannot lead a claim
Z22358Carrier of other EnterobacteralesNoneCannot lead a claim
Z22359Carrier of Enterobacterales, unspecifiedNoneCannot lead a claim
Z2239Carrier of other specified bacterial diseasesNoneCannot lead a claim
Z224Carrier of infections w sexl mode of transmissNoneCannot lead a claim
Z226Carrier of human T-lymphotropic virus type-1 infectionNoneCannot lead a claim
Z227Latent tuberculosisNoneCannot lead a claim
Z228Carrier of other infectious diseasesNoneCannot lead a claim
Z229Carrier of infectious disease, unspecifiedNoneCannot lead a claim
Z23Encounter for immunizationNoneCannot lead a claim
Z2801Immunization not crd out because of acute illness of patientNoneCannot lead a claim
Z2802Immuniz not crd out bec chronic illness or cond of patientNoneCannot lead a claim
Z2803Immuniz not crd out bec immune compromised state of patientNoneCannot lead a claim
Z2804Immuniz not crd out bec patient allergy to vaccine or cmpntNoneCannot lead a claim
Z2809Immunization not carried out because of oth contraindicationNoneCannot lead a claim
Z281Immuniz not crd out because of patient belief/grp pressrNoneCannot lead a claim
Z2820Immuniz not crd out bec patient decision for unsp reasonNoneCannot lead a claim
Z2821Immunization not carried out because of patient refusalNoneCannot lead a claim
Z2829Immuniz not crd out bec patient decision for oth reasonNoneCannot lead a claim
Z28310Unvaccinated for COVID-19NoneCannot lead a claim
Z28311Partially vaccinated for COVID-19NoneCannot lead a claim
Z2839Other underimmunization statusNoneCannot lead a claim
Z2881Immuniz not crd out due to patient having had the diseaseNoneCannot lead a claim
Z2882Immunization not carried out because of caregiver refusalNoneCannot lead a claim
Z2883Immunization not crd out due to unavailability of vaccineNoneCannot lead a claim
Z2889Immunization not carried out for other reasonNoneCannot lead a claim
Z289Immunization not carried out for unspecified reasonNoneCannot lead a claim
Z2911Enctr for prphylc immther for resp syncytial virus (RSV)NoneCannot lead a claim
Z2912Encounter for prophylactic antiveninNoneCannot lead a claim
Z2913Encounter for prophylactic Rho(D) immune globulinNoneCannot lead a claim
Z2914Encounter for prophylactic rabies immune globulinNoneCannot lead a claim
Z293Encounter for prophylactic fluoride administrationNoneCannot lead a claim
Z2981Encounter for HIV pre-exposure prophylaxisNoneCannot lead a claim
Z2989Encounter for other specified prophylactic measuresNoneCannot lead a claim
Z299Encounter for prophylactic measures, unspecifiedNoneCannot 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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