ICD-10 · PDGM grouping
K64 Hemorrhoids and perianal venous thrombosis
All 8 codes in the K64 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.
Codes in family
8
Can lead a claim
8
Cannot lead a claim
0
What CMS assigns to K64
All 8 codes group to MMTA - Gastrointestinal tract and Genitourinary system. None of the 8 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in K64
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| K64.0 | First degree hemorrhoids | Can lead a claim | J | None |
| K64.1 | Second degree hemorrhoids | Can lead a claim | J | None |
| K64.2 | Third degree hemorrhoids | Can lead a claim | J | None |
| K64.3 | Fourth degree hemorrhoids | Can lead a claim | J | None |
| K64.4 | Residual hemorrhoidal skin tags | Can lead a claim | J | None |
| K64.5 | Perianal venous thrombosis | Can lead a claim | J | None |
| K64.8 | Other hemorrhoids | Can lead a claim | J | None |
| K64.9 | Unspecified hemorrhoids | Can lead a claim | J | None |
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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