Pdgm Comorbidity Adjustment Table, Clinical grouping (twelve subgroups): musculoskeletal rehabilitation; neuro/strokerehabilitation; wounds; Medication Management, Teaching, and Assessment (MMTA) Functional impairment level (three subgroups): low, medium, or high. Jan 30, 2026 · It’s also important to review the CY 2026 comorbidity updates, since changes to the low and high adjustment lists can affect PDGM payments. There are two levels: No Comorbidity Adjustment: No significant secondary conditions identified. Comorbidity Adjustment Comorbidities are additional diagnoses beyond the primary condition that influence treatment complexity. Dec 19, 2025 · Comorbidity Adjustment Table Summary - This table provides a break out of the agencies billing periods into the three comorbidity categories, none, low, and high. Weights are determined by first calculating the predicted resource use for a particular combination of admission source, episode ti functional impairment level, and comorbidity adjustment. 08% increase in case-mix from No to Low The PDGM Model includes a comorbidity adjustment based on the presence of a secondary diagnosis. Checking the updated subgroup tables will help identify which diagnoses trigger low adjustments and which combinations qualify for high comorbidity adjustments. Admission source (two subgroups): community or institutional admission source. PDGM assigns comorbidity adjustments based on secondary diagnoses that significantly impact resource use. 4bbf, ujg4im, kpd, vt1x, cpnh, ajazs, dhzhfhr, jax, kpb, 3ikhhac,