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

K11 Diseases of salivary glands

All 13 codes in the K11 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

13

Can lead a claim

12

Cannot lead a claim

1

What CMS assigns to K11

12 of the 13 codes group to MMTA - Gastrointestinal tract and Genitourinary system (9) and MMTA - Other (3); 1 is assigned no clinical group. None of the 13 is assigned a comorbidity subgroup. 12 of the 13 can lead a claim.

Every code in K11

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K11.0Atrophy of salivary glandCan lead a claimANone
K11.1Hypertrophy of salivary glandCan lead a claimJNone
K11.2 Sialoadenitis
K11.20Sialoadenitis, unspecifiedCan lead a claimJNone
K11.21Acute sialoadenitisCan lead a claimJNone
K11.22Acute recurrent sialoadenitisCan lead a claimJNone
K11.23Chronic sialoadenitisCan lead a claimJNone
K11.3Abscess of salivary glandCan lead a claimJNone
K11.4Fistula of salivary glandCan lead a claimANone
K11.5SialolithiasisCan lead a claimJNone
K11.6Mucocele of salivary glandCan lead a claimANone
K11.7Disturbances of salivary secretionCan lead a claimJNone
K11.8Other diseases of salivary glandsCan lead a claimJNone
K11.9Disease of salivary gland, 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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