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

K56 Paralytic ileus and intestinal obstruction without hernia

All 16 codes in the K56 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

16

Can lead a claim

13

Cannot lead a claim

3

What CMS assigns to K56

13 of the 16 codes group to MMTA - Gastrointestinal tract and Genitourinary system; 3 are assigned no clinical group. 8 of the 16 count toward the Intestinal Obstruction and Ileus comorbidity subgroup; 8 are assigned none. 13 of the 16 can lead a claim.

  • Intestinal Obstruction and Ileus: can award the low comorbidity tier as a secondary diagnosis.

Every code in K56

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K56.0Paralytic ileusCan lead a claimJIntestinal Obstruction and Ileus
K56.1IntussusceptionCan lead a claimJNone
K56.2VolvulusCan lead a claimJNone
K56.3Gallstone ileusCan lead a claimJNone
K56.4 Other impaction of intestine
K56.41Fecal impactionCan lead a claimJNone
K56.49Other impaction of intestineCan lead a claimJNone
K56.5 Intestinal adhesions [bands] with obstruction (postinfection)
K56.50Intestinal adhesions [bands], unspecified as to partial versus complete obstructionCMS: Intestnl adhesions, unsp as to partial versus complete obstCan lead a claimJNone
K56.51Intestinal adhesions [bands], with partial obstructionCan lead a claimJNone
K56.52Intestinal adhesions [bands] with complete obstructionCan lead a claimJNone
K56.6 Other and unspecified intestinal obstruction
K56.60 Unspecified intestinal obstruction
K56.600Partial intestinal obstruction, unspecified as to causeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneIntestinal Obstruction and Ileus
K56.601Complete intestinal obstruction, unspecified as to causeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneIntestinal Obstruction and Ileus
K56.609Unspecified intestinal obstruction, unspecified as to partial versus complete obstructionCMS: Unsp intestnl obst, unsp as to partial versus complete obstCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneIntestinal Obstruction and Ileus
K56.69 Other intestinal obstruction
K56.690Other partial intestinal obstructionCan lead a claimJIntestinal Obstruction and Ileus
K56.691Other complete intestinal obstructionCan lead a claimJIntestinal Obstruction and Ileus
K56.699Other intestinal obstruction unspecified as to partial versus complete obstructionCMS: Other intestnl obst unsp as to partial versus complete obstCan lead a claimJIntestinal Obstruction and Ileus
K56.7Ileus, unspecifiedCan lead a claimJIntestinal Obstruction and Ileus

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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