Diagnosis · Mapper
ICD-10 → PDGM Mapper
Look up a Home Health primary diagnosis to see its PDGM clinical group. With the CMS file loaded, every acceptable code maps exactly; otherwise the tool shows curated codes precisely and estimates the rest from the ICD-10 chapter.
Primary diagnosis
PDGM groups the 30-day period from the principal diagnosis (12 clinical groups). A code that isn't on the CMS acceptable list returns to provider — check that on the Principal Diagnosis Checker.