CMS released an updated version of the Home Health Grouper on Feb. 10 which outlines changes set to take effect April 1, 2026. 
  
Key updates include: 
  • Clinical group assignment modifications for three codes that previously did not have a clinical group designation: 
    • H40.841 (Neovascular secondary angle closure glaucoma, right eye), H40.842 (Neovascular secondary angle closure glaucoma, left eye) and H40.843 (Neovascular secondary angle closure glaucoma, bilateral) will now fall into the MMTA – Other clinical group.
  • Removal of four codes from a “Code First” coding condition: 
    • H40.841 (Neovascular secondary angle closure glaucoma, right eye) 
    • H40.842 (Neovascular secondary angle closure glaucoma, left eye) 
    • H40.843 (Neovascular secondary angle closure glaucoma, bilateral) 
    • H40.849 (Neovascular secondary angle closure glaucoma, unspecified) 
  • Removal of five codes from the unacceptable principal diagnosis list: 
    • F07.81 (Postconcussional syndrome) 
    • H40.841 (Neovascular secondary angle closure glaucoma, right eye) 
    • H40.842 (Neovascular secondary angle closure glaucoma, left eye) 
    • H40.843 (Neovascular secondary angle closure glaucoma, bilateral) 
    • H40.849 (Neovascular secondary angle closure glaucoma, unspecified)  
Editor’s note: To view the April Home Health Grouper update, visit https://tinyurl.com/24z83bhs