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

K71 Toxic liver disease

All 12 codes in the K71 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 K71

11 of the 12 codes group to MMTA - Gastrointestinal tract and Genitourinary system (9) and MMTA - Other (2); 1 is assigned no clinical group. 1 of the 12 counts toward the Hepatic Failure and Other Inflammatory Liver Disorders comorbidity subgroup; 11 are assigned none. 11 of the 12 can lead a claim. CMS attaches a code-first note to all 12.

  • Hepatic Failure and Other Inflammatory Liver Disorders

Code first

CMS grouper convention 13, on all 12 codes. Code first:

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Every code in K71

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K71.0Toxic liver disease with cholestasisCan lead a claim, code first appliesJNone
K71.1 Toxic liver disease with hepatic necrosis
K71.10Toxic liver disease with hepatic necrosis, without comaCan lead a claim, code first appliesJNone
K71.11Toxic liver disease with hepatic necrosis, with comaCan lead a claim, code first appliesAHepatic Failure and Other Inflammatory Liver Disorders
K71.2Toxic liver disease with acute hepatitisCan lead a claim, code first appliesJNone
K71.3Toxic liver disease with chronic persistent hepatitisCan lead a claim, code first appliesJNone
K71.4Toxic liver disease with chronic lobular hepatitisCan lead a claim, code first appliesANone
K71.5 Toxic liver disease with chronic active hepatitis
K71.50Toxic liver disease with chronic active hepatitis without ascitesCMS: Toxic liver disease w chronic active hepatitis w/o ascitesCan lead a claim, code first appliesJNone
K71.51Toxic liver disease with chronic active hepatitis with ascitesCMS: Toxic liver disease w chronic active hepatitis with ascitesCan lead a claim, code first appliesJNone
K71.6Toxic liver disease with hepatitis, not elsewhere classifiedCan lead a claim, code first appliesJNone
K71.7Toxic liver disease with fibrosis and cirrhosis of liverCan lead a claim, code first appliesJNone
K71.8Toxic liver disease with other disorders of liverCan lead a claim, code first appliesJNone
K71.9Toxic liver disease, 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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue