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

K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified

All 24 codes in the K91 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

24

Can lead a claim

24

Cannot lead a claim

0

What CMS assigns to K91

All 24 codes group to MMTA - Gastrointestinal tract and Genitourinary system (22) and MMTA - Other (2). 3 of the 24 count toward the Intestinal Obstruction and Ileus comorbidity subgroup; 21 are assigned none. Every code can lead a claim.

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

Every code in K91

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K91.0Vomiting following gastrointestinal surgeryCan lead a claimJNone
K91.1Postgastric surgery syndromesCan lead a claimJNone
K91.2Postsurgical malabsorption, not elsewhere classifiedCan lead a claimJNone
K91.3 Postprocedural intestinal obstruction
K91.30Postprocedural intestinal obstruction, unspecified as to partial versus completeCMS: Postproc intestinal obst, unsp as to partial versus completeCan lead a claimJIntestinal Obstruction and Ileus
K91.31Postprocedural partial intestinal obstructionCan lead a claimJIntestinal Obstruction and Ileus
K91.32Postprocedural complete intestinal obstructionCan lead a claimJIntestinal Obstruction and Ileus
K91.5Postcholecystectomy syndromeCan lead a claimJNone
K91.6 Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure
K91.61Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive system procedureCMS: Intraop hemor/hemtom of dgstv sys org comp a dgstv sys procCan lead a claimJNone
K91.62Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating other procedureCMS: Intraop hemor/hemtom of a dgstv sys org comp oth procedureCan lead a claimJNone
K91.7 Accidental puncture and laceration of a digestive system organ or structure during a procedure
K91.71Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedureCMS: Accidental pnctr & lac of a dgstv sys org dur dgstv sys procCan lead a claimJNone
K91.72Accidental puncture and laceration of a digestive system organ or structure during other procedureCMS: Acc pnctr & lac of a dgstv sys org during oth procedureCan lead a claimJNone
K91.8 Other intraoperative and postprocedural complications and disorders of digestive system
K91.81Other intraoperative complications of digestive systemCan lead a claimJNone
K91.82Postprocedural hepatic failureCan lead a claimANone
K91.83Postprocedural hepatorenal syndromeCan lead a claimANone
K91.84 Postprocedural hemorrhage of a digestive system organ or structure following a procedure
K91.840Postprocedural hemorrhage of a digestive system organ or structure following a digestive system procedureCMS: Postproc hemor of a dgstv sys org fol a dgstv sys procedureCan lead a claimJNone
K91.841Postprocedural hemorrhage of a digestive system organ or structure following other procedureCMS: Postproc hemor of a dgstv sys org following other procedureCan lead a claimJNone
K91.85 Complications of intestinal pouch
K91.850PouchitisCan lead a claimJNone
K91.858Other complications of intestinal pouchCan lead a claimJNone
K91.86Retained cholelithiasis following cholecystectomyCan lead a claimJNone
K91.87 Postprocedural hematoma and seroma of a digestive system organ or structure following a procedure
K91.870Postprocedural hematoma of a digestive system organ or structure following a digestive system procedureCMS: Postproc hematoma of a dgstv sys org fol a dgstv sys procCan lead a claimJNone
K91.871Postprocedural hematoma of a digestive system organ or structure following other procedureCMS: Postproc hematoma of a dgstv sys org fol other procedureCan lead a claimJNone
K91.872Postprocedural seroma of a digestive system organ or structure following a digestive system procedureCMS: Postproc seroma of a dgstv sys org fol a dgstv sys procedureCan lead a claimJNone
K91.873Postprocedural seroma of a digestive system organ or structure following other procedureCMS: Postproc seroma of a dgstv sys org following other procedureCan lead a claimJNone
K91.89Other postprocedural complications and disorders of digestive systemCMS: Oth postprocedural complications and disorders of dgstv sysCan lead a claimJNone

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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