Pdgm Acceptable Diagnosis Codes 2025

Pdgm Acceptable Diagnosis Codes 2025. In the new pdgm (patient driven groupings model) payment model effective 2020, the primary dx will be very important in order to determine what payment group your claim will fall under. While there will be new diagnoses added to the list of acceptable primary diagnoses for pdgm, the changes that come with the reclassification of secondary diagnosis.

Using a code on the unacceptable primary diagnosis codes list will result in delayed claims, corrections, and cash flow interruptions. Click the links below to download the 2025 valid and excluded icd diagnosis code lists in excel (.xlsx).