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

K62 Other diseases of anus and rectum

All 12 codes in the K62 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

12

Can lead a claim

11

Cannot lead a claim

1

What CMS assigns to K62

11 of the 12 codes group to MMTA - Gastrointestinal tract and Genitourinary system (10) and MMTA - Other (1); 1 is assigned no clinical group. None of the 12 is assigned a comorbidity subgroup. 11 of the 12 can lead a claim.

Every code in K62

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K62.0Anal polypCan lead a claimJNone
K62.1Rectal polypCan lead a claimJNone
K62.2Anal prolapseCan lead a claimJNone
K62.3Rectal prolapseCan lead a claimJNone
K62.4Stenosis of anus and rectumCan lead a claimJNone
K62.5Hemorrhage of anus and rectumCan lead a claimJNone
K62.6Ulcer of anus and rectumCan lead a claimJNone
K62.7Radiation proctitisCan lead a claimJNone
K62.8 Other specified diseases of anus and rectum
K62.81Anal sphincter tear (healed) (nontraumatic) (old)Can lead a claimANone
K62.82Dysplasia of anusCan lead a claimJNone
K62.89Other specified diseases of anus and rectumCan lead a claimJNone
K62.9Disease of anus and rectum, 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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