ICD-10 · PDGM grouping
K94 Complications of artificial openings of the digestive system
All 20 codes in the K94 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
20
Can lead a claim
16
Cannot lead a claim
4
What CMS assigns to K94
16 of the 20 codes group to Complex Nursing Interventions; 4 are assigned no clinical group. None of the 20 is assigned a comorbidity subgroup. 16 of the 20 can lead a claim.
Every code in K94
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 |
|---|---|---|---|---|
| K94.0 Colostomy complications | ||||
| K94.00 | Colostomy complication, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| K94.01 | Colostomy hemorrhage | Can lead a claim | D | None |
| K94.02 | Colostomy infection | Can lead a claim | D | None |
| K94.03 | Colostomy malfunction | Can lead a claim | D | None |
| K94.09 | Other complications of colostomy | Can lead a claim | D | None |
| K94.1 Enterostomy complications | ||||
| K94.10 | Enterostomy complication, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| K94.11 | Enterostomy hemorrhage | Can lead a claim | D | None |
| K94.12 | Enterostomy infection | Can lead a claim | D | None |
| K94.13 | Enterostomy malfunction | Can lead a claim | D | None |
| K94.19 | Other complications of enterostomy | Can lead a claim | D | None |
| K94.2 Gastrostomy complications | ||||
| K94.20 | Gastrostomy complication, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| K94.21 | Gastrostomy hemorrhage | Can lead a claim | D | None |
| K94.22 | Gastrostomy infection | Can lead a claim | D | None |
| K94.23 | Gastrostomy malfunction | Can lead a claim | D | None |
| K94.29 | Other complications of gastrostomy | Can lead a claim | D | None |
| K94.3 Esophagostomy complications | ||||
| K94.30 | Esophagostomy complications, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| K94.31 | Esophagostomy hemorrhage | Can lead a claim | D | None |
| K94.32 | Esophagostomy infection | Can lead a claim | D | None |
| K94.33 | Esophagostomy malfunction | Can lead a claim | D | None |
| K94.39 | Other complications of esophagostomy | Can lead a claim | D | 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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