APDGM clinical group
MMTA — Other
Catch-all for medication management, teaching, and assessment cases that do not fit any of the other 11 clinical groups.
PDGM · Reference
PDGM Clinical Groups
All 12 PDGM clinical groups (A–L) with CMS labels, summaries, and ICD-10 chapter examples — searchable.
CY2026 PDGM · CMS-1828-F · ingested 2026-04-28
Search by group name, ICD-10 chapter (e.g. J00), or summary keyword.
HH PPS Grouper Software (HHGS)·Authoritative ICD-10-to-clinical-group crosswalk·42 CFR §484.220
All 12 groups
CY2026 PDGM
- BPDGM clinical group
Neuro Rehabilitation
Rehab focused on neurological conditions including stroke sequelae and degenerative neurologic disease.
ICD-10 chapters (illustrative)
- G00–G99 (nervous system)
- I60–I69 (cerebrovascular sequelae)
- CPDGM clinical group
Wound
Skilled wound care for surgical, pressure, vascular, or other chronic ulcers.
ICD-10 chapters (illustrative)
- L00–L99 (skin)
- I70.x / I83.x (vascular ulcers)
- T81.x / T87.x (post-op wounds)
- DPDGM clinical group
Complex Nursing Interventions
Cases requiring complex skilled nursing such as IV therapy, parenteral nutrition, or ostomy management.
ICD-10 chapters (illustrative)
- Z43.x (ostomy/parenteral aftercare)
- selected complex skilled-nursing codes
- EPDGM clinical group
Musculoskeletal Rehabilitation
Rehab focused on musculoskeletal conditions including post-orthopedic-surgery aftercare.
ICD-10 chapters (illustrative)
- M00–M99 (musculoskeletal)
- selected S/T orthopedic injuries
- Z47.x aftercare
- FPDGM clinical group
Behavioral Health
Psychiatric and behavioral conditions that drive the principal home health need.
ICD-10 chapters (illustrative)
- F04–F99 (mental, behavioral, neurodevelopmental)
- GPDGM clinical group
MMTA — Surgical Aftercare
Medication management, teaching, and assessment focused on post-surgical recovery.
ICD-10 chapters (illustrative)
- Z47.x
- Z48.x (encounters for aftercare)
- HPDGM clinical group
MMTA — Cardiac and Circulatory
Medication management, teaching, and assessment for cardiac and circulatory diagnoses.
ICD-10 chapters (illustrative)
- I00–I99 (excluding cerebrovascular sequelae which go to Neuro Rehab)
- IPDGM clinical group
MMTA — Endocrine
Medication management, teaching, and assessment for endocrine and metabolic diagnoses.
ICD-10 chapters (illustrative)
- E00–E89 (endocrine, nutritional, metabolic)
- JPDGM clinical group
MMTA — Gastrointestinal tract and Genitourinary system
Medication management, teaching, and assessment for GI and GU diagnoses.
ICD-10 chapters (illustrative)
- K00–K95 (digestive)
- N00–N99 (genitourinary)
- KPDGM clinical group
MMTA — Infectious Disease, Neoplasms, and Blood-Forming Diseases
Medication management, teaching, and assessment for infectious, neoplastic, and blood disorders.
ICD-10 chapters (illustrative)
- A00–B99 (infectious)
- C00–D49 (neoplasms)
- D50–D89 (blood and immune)
- LPDGM clinical group
MMTA — Respiratory
Medication management, teaching, and assessment for respiratory diagnoses.
ICD-10 chapters (illustrative)
- J00–J99 (respiratory)