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

K31 Other diseases of stomach and duodenum

All 26 codes in the K31 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

26

Can lead a claim

25

Cannot lead a claim

1

What CMS assigns to K31

25 of the 26 codes group to MMTA - Gastrointestinal tract and Genitourinary system (23) and MMTA - Other (2); 1 is assigned no clinical group. None of the 26 is assigned a comorbidity subgroup. 25 of the 26 can lead a claim. CMS attaches a code-first note to 1 of the 26.

Code first

CMS grouper convention 100, on K31.84. Code first:

  • anorexia nervosa (F50.0-)
  • diabetes mellitus (E08.43, E09.43, E10.43, E11.43, E13.43)
  • scleroderma (M34.-)
  • underlying disease, if known, such as:

Every code in K31

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K31.0Acute dilatation of stomachCan lead a claimANone
K31.1Adult hypertrophic pyloric stenosisCan lead a claimJNone
K31.BHypertrophic pyloric stenosis, in childhoodCan lead a claimJNone
K31.2Hourglass stricture and stenosis of stomachCan lead a claimJNone
K31.3Pylorospasm, not elsewhere classifiedCan lead a claimJNone
K31.4Gastric diverticulumCan lead a claimJNone
K31.5Obstruction of duodenumCan lead a claimJNone
K31.6Fistula of stomach and duodenumCan lead a claimJNone
K31.7Polyp of stomach and duodenumCan lead a claimJNone
K31.8 Other specified diseases of stomach and duodenum
K31.81 Angiodysplasia of stomach and duodenum
K31.811Angiodysplasia of stomach and duodenum with bleedingCan lead a claimJNone
K31.819Angiodysplasia of stomach and duodenum without bleedingCan lead a claimJNone
K31.82Dieulafoy lesion (hemorrhagic) of stomach and duodenumCan lead a claimJNone
K31.83AchlorhydriaCan lead a claimANone
K31.84GastroparesisCan lead a claim, code first appliesJNone
K31.89Other diseases of stomach and duodenumCan lead a claimJNone
K31.9Disease of stomach and duodenum, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K31.A Gastric intestinal metaplasia
K31.A0Gastric intestinal metaplasia, unspecifiedCan lead a claimJNone
K31.A1 Gastric intestinal metaplasia without dysplasia
K31.A11Gastric intestinal metaplasia without dysplasia, involving the antrumCMS: Gastric intestnl metaplasia without dysplasia, w the antrumCan lead a claimJNone
K31.A12Gastric intestinal metaplasia without dysplasia, involving the body (corpus)CMS: Gastr intestnl metaplasia w/o dysplasia, w the body (corpus)Can lead a claimJNone
K31.A13Gastric intestinal metaplasia without dysplasia, involving the fundusCMS: Gastric intestnl metaplasia without dysplasia, w the fundusCan lead a claimJNone
K31.A14Gastric intestinal metaplasia without dysplasia, involving the cardiaCMS: Gastric intestnl metaplasia without dysplasia, w the cardiaCan lead a claimJNone
K31.A15Gastric intestinal metaplasia without dysplasia, involving multiple sitesCMS: Gastric intestnl metaplasia without dysplasia, w mult sitesCan lead a claimJNone
K31.A19Gastric intestinal metaplasia without dysplasia, unspecified siteCMS: Gastric intestinal metaplasia without dysplasia, unsp siteCan lead a claimJNone
K31.A2 Gastric intestinal metaplasia with dysplasia
K31.A21Gastric intestinal metaplasia with low grade dysplasiaCan lead a claimJNone
K31.A22Gastric intestinal metaplasia with high grade dysplasiaCan lead a claimJNone
K31.A29Gastric intestinal metaplasia with dysplasia, unspecifiedCan 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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