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

K25 Gastric ulcer

All 9 codes in the K25 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

9

Can lead a claim

9

Cannot lead a claim

0

What CMS assigns to K25

All 9 codes group to MMTA - Gastrointestinal tract and Genitourinary system. None of the 9 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in K25

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K25.0Acute gastric ulcer with hemorrhageCan lead a claimJNone
K25.1Acute gastric ulcer with perforationCan lead a claimJNone
K25.2Acute gastric ulcer with both hemorrhage and perforationCan lead a claimJNone
K25.3Acute gastric ulcer without hemorrhage or perforationCan lead a claimJNone
K25.4Chronic or unspecified gastric ulcer with hemorrhageCan lead a claimJNone
K25.5Chronic or unspecified gastric ulcer with perforationCan lead a claimJNone
K25.6Chronic or unspecified gastric ulcer with both hemorrhage and perforationCMS: Chronic or unsp gastric ulcer w both hemorrhage and perfCan lead a claimJNone
K25.7Chronic gastric ulcer without hemorrhage or perforationCan lead a claimJNone
K25.9Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforationCMS: Gastric ulcer, unsp as acute or chronic, w/o hemor or perfCan lead a claimJNone

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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