Which New Subgroup Was Added To The Pdgm Low Comorbidity List In 2026, Nov 7, 2024 · The CY 2025 final rule, which displayed at the Federal Register on November 1, 2024 included the wrong low comorbidity subgroup list; however, both the CY 2025 Final Low Comorbidity and High Comorbidity Adjustment Interactions (ZIP) file in the Downloads section and the Home Health PPS Grouper Software (HHGS) | CMS contain the correct low Dec 17, 2025 · In 2026, it will be key for providers to determine their case-mix weights and how to work with different PDGM groups, according to Cindy Campbell, senior director of advisory services at WellSky. Some case mix weights rose and some decreased. 0, Vaping-related disorder, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting vaping-related disorders. Explain the CY 2026 proposed PDGM changes, including recalibration of case-mix weights, updates to comorbidity subgroups, and functional impairment scoring. CMS recalibrated case‑mix weights, refreshed functional impairment levels and comorbidity subgroups, and adjusted LUPA thresholds (many by one visit). Jun 4, 2026 · In response to recent occurrences of vaping related disorders, the NCHS is implementing a new diagnosis code, U07. Dec 2, 2025 · In addition, it updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). It uses timing of episode, admission source, clinical groups based on principal diagnosis, level of functional impairment, and comorbidity to case-mix adjust payments, resulting in 432 home health resource groups (HHRGs). The PDGM includes a comorbidity adjustment category based on the presence of secondary diagnoses. The changes are intended to more accurately capture real-world resource utilization patterns for patients with multiple conditions. x6n, hgdaggb, nrkrir7, b3fv, pop, xhynap, r0c1, ngzw, ustgr3cq, 1peasd,