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

K51 Ulcerative colitis

All 49 codes in the K51 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

49

Can lead a claim

42

Cannot lead a claim

7

What CMS assigns to K51

42 of the 49 codes group to MMTA - Gastrointestinal tract and Genitourinary system (36) and MMTA - Other (6); 7 are assigned no clinical group. 42 of the 49 count toward the Crohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders comorbidity subgroup; 7 are assigned none. 42 of the 49 can lead a claim.

  • Crohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders

Every code in K51

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K51.0 Ulcerative (chronic) pancolitis
K51.00Ulcerative (chronic) pancolitis without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.01 Ulcerative (chronic) pancolitis with complications
K51.011Ulcerative (chronic) pancolitis with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.012Ulcerative (chronic) pancolitis with intestinal obstructionCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.013Ulcerative (chronic) pancolitis with fistulaCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.014Ulcerative (chronic) pancolitis with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.018Ulcerative (chronic) pancolitis with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.019Ulcerative (chronic) pancolitis with unspecified complicationsCMS: Ulcerative (chronic) pancolitis with unsp complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.2 Ulcerative (chronic) proctitis
K51.20Ulcerative (chronic) proctitis without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.21 Ulcerative (chronic) proctitis with complications
K51.211Ulcerative (chronic) proctitis with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.212Ulcerative (chronic) proctitis with intestinal obstructionCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.213Ulcerative (chronic) proctitis with fistulaCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.214Ulcerative (chronic) proctitis with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.218Ulcerative (chronic) proctitis with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.219Ulcerative (chronic) proctitis with unspecified complicationsCMS: Ulcerative (chronic) proctitis with unsp complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.3 Ulcerative (chronic) rectosigmoiditis
K51.30Ulcerative (chronic) rectosigmoiditis without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.31 Ulcerative (chronic) rectosigmoiditis with complications
K51.311Ulcerative (chronic) rectosigmoiditis with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.312Ulcerative (chronic) rectosigmoiditis with intestinal obstructionCMS: Ulcerative (chronic) rectosigmoiditis w intestinal obstCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.313Ulcerative (chronic) rectosigmoiditis with fistulaCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.314Ulcerative (chronic) rectosigmoiditis with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.318Ulcerative (chronic) rectosigmoiditis with other complicationCMS: Ulcerative (chronic) rectosigmoiditis with oth complicationCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.319Ulcerative (chronic) rectosigmoiditis with unspecified complicationsCMS: Ulcerative (chronic) rectosigmoiditis w unsp complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.4 Inflammatory polyps of colon
K51.40Inflammatory polyps of colon without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.41 Inflammatory polyps of colon with complications
K51.411Inflammatory polyps of colon with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.412Inflammatory polyps of colon with intestinal obstructionCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.413Inflammatory polyps of colon with fistulaCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.414Inflammatory polyps of colon with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.418Inflammatory polyps of colon with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.419Inflammatory polyps of colon with unspecified complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.5 Left sided colitis
K51.50Left sided colitis without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.51 Left sided colitis with complications
K51.511Left sided colitis with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.512Left sided colitis with intestinal obstructionCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.513Left sided colitis with fistulaCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.514Left sided colitis with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.518Left sided colitis with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.519Left sided colitis with unspecified complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.8 Other ulcerative colitis
K51.80Other ulcerative colitis without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.81 Other ulcerative colitis with complications
K51.811Other ulcerative colitis with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.812Other ulcerative colitis with intestinal obstructionCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.813Other ulcerative colitis with fistulaCan lead a claimACrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.814Other ulcerative colitis with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.818Other ulcerative colitis with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.819Other ulcerative colitis with unspecified complicationsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
K51.9 Ulcerative colitis, unspecified
K51.90Ulcerative colitis, unspecified, without complicationsCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.91 Ulcerative colitis, unspecified, with complications
K51.911Ulcerative colitis, unspecified with rectal bleedingCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.912Ulcerative colitis, unspecified with intestinal obstructionCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.913Ulcerative colitis, unspecified with fistulaCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.914Ulcerative colitis, unspecified with abscessCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.918Ulcerative colitis, unspecified with other complicationCan lead a claimJCrohn’s, Ulcerative Colitis, and other Functional Intestinal Disorders
K51.919Ulcerative colitis, unspecified with unspecified complicationsCMS: Ulcerative colitis, unsp with unspecified complicationsCannot 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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