Diagnosis · Mapper
ICD-10 → PDPM Mapper
Look up a SNF primary diagnosis (MDS I0020B) to see its PDPM clinical category and the collapsed PT/OT category. Exact when the CMS file is loaded; otherwise curated codes are exact and the rest are estimated from the ICD-10 chapter.
Primary diagnosis
The primary diagnosis maps to 1 of 10 PDPM clinical categories, which collapse into 4 PT/OT categories. A surgical procedure recorded in MDS section J can upgrade a fracture code to a surgical category.