October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

K03 Other diseases of hard tissues of teeth

All 11 codes in the K03 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

0

Cannot lead a claim

11

What CMS assigns to K03

None of the 11 codes is assigned a clinical group. None of the 11 is assigned a comorbidity subgroup. None can lead a claim.

Every code in K03

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K03.0Excessive attrition of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.1Abrasion of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.2Erosion of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.3Pathological resorption of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.4HypercementosisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.5Ankylosis of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.6Deposits [accretions] on teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.7Posteruptive color changes of dental hard tissuesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.8 Other specified diseases of hard tissues of teeth
K03.81Cracked toothCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.89Other specified diseases of hard tissues of teethCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K03.9Disease of hard tissues of teeth, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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