ICD-10 · PDGM grouping
K80-K87 — Disorders of gallbladder, biliary tract and pancreas
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
88
No clinical group
6
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
79 of the 88 codes in K80-K87 group to MMTA - Gastrointestinal tract and Genitourinary system, but the range is not uniform — it spreads across 2 clinical groups. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in K80-K87
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in K80-K87
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| K8000 | Calculus of gallbladder w acute cholecyst w/o obstruction | J | Can lead a claim |
| K8001 | Calculus of gallbladder w acute cholecystitis w obstruction | J | Can lead a claim |
| K8010 | Calculus of gallbladder w chronic cholecyst w/o obstruction | J | Can lead a claim |
| K8011 | Calculus of gallbladder w chronic cholecyst w obstruction | J | Can lead a claim |
| K8012 | Calculus of GB w acute and chronic cholecyst w/o obstruction | J | Can lead a claim |
| K8013 | Calculus of GB w acute and chronic cholecyst w obstruction | J | Can lead a claim |
| K8018 | Calculus of gallbladder w oth cholecystitis w/o obstruction | J | Can lead a claim |
| K8019 | Calculus of gallbladder w oth cholecystitis with obstruction | J | Can lead a claim |
| K8020 | Calculus of gallbladder w/o cholecystitis w/o obstruction | J | Can lead a claim |
| K8021 | Calculus of gallbladder w/o cholecystitis with obstruction | J | Can lead a claim |
| K8030 | Calculus of bile duct w cholangitis, unsp, w/o obstruction | J | Can lead a claim |
| K8031 | Calculus of bile duct w cholangitis, unsp, with obstruction | J | Can lead a claim |
| K8032 | Calculus of bile duct with acute cholangitis w/o obstruction | J | Can lead a claim |
| K8033 | Calculus of bile duct w acute cholangitis with obstruction | J | Can lead a claim |
| K8034 | Calculus of bile duct w chronic cholangitis w/o obstruction | J | Can lead a claim |
| K8035 | Calculus of bile duct w chronic cholangitis with obstruction | J | Can lead a claim |
| K8036 | Calculus of bile duct w acute and chr cholangitis w/o obst | J | Can lead a claim |
| K8037 | Calculus of bile duct w acute and chronic cholangitis w obst | J | Can lead a claim |
| K8040 | Calculus of bile duct w cholecystitis, unsp, w/o obstruction | J | Can lead a claim |
| K8041 | Calculus of bile duct w cholecystitis, unsp, w obstruction | J | Can lead a claim |
| K8042 | Calculus of bile duct w acute cholecystitis w/o obstruction | J | Can lead a claim |
| K8043 | Calculus of bile duct w acute cholecystitis with obstruction | J | Can lead a claim |
| K8044 | Calculus of bile duct w chronic cholecyst w/o obstruction | J | Can lead a claim |
| K8045 | Calculus of bile duct w chronic cholecystitis w obstruction | J | Can lead a claim |
| K8046 | Calculus of bile duct w acute and chronic cholecyst w/o obst | J | Can lead a claim |
| K8047 | Calculus of bile duct w acute and chronic cholecyst w obst | J | Can lead a claim |
| K8050 | Calculus of bile duct w/o cholangitis or cholecyst w/o obst | J | Can lead a claim |
| K8051 | Calculus of bile duct w/o cholangitis or cholecyst w obst | J | Can lead a claim |
| K8060 | Calculus of GB and bile duct w cholecyst, unsp, w/o obst | J | Can lead a claim |
| K8061 | Calculus of GB and bile duct w cholecyst, unsp, w obst | J | Can lead a claim |
| K8062 | Calculus of GB and bile duct w acute cholecyst w/o obst | J | Can lead a claim |
| K8063 | Calculus of GB and bile duct w acute cholecyst w obstruction | J | Can lead a claim |
| K8064 | Calculus of GB and bile duct w chronic cholecyst w/o obst | J | Can lead a claim |
| K8065 | Calculus of GB and bile duct w chronic cholecyst w obst | J | Can lead a claim |
| K8066 | Calculus of GB and bile duct w ac and chr cholecyst w/o obst | J | Can lead a claim |
| K8067 | Calculus of GB and bile duct w ac and chr cholecyst w obst | J | Can lead a claim |
| K8070 | Calculus of GB and bile duct w/o cholecyst w/o obstruction | J | Can lead a claim |
| K8071 | Calculus of GB and bile duct w/o cholecyst w obstruction | J | Can lead a claim |
| K8080 | Other cholelithiasis without obstruction | J | Can lead a claim |
| K8081 | Other cholelithiasis with obstruction | J | Can lead a claim |
| K810 | Acute cholecystitis | J | Can lead a claim |
| K811 | Chronic cholecystitis | J | Can lead a claim |
| K812 | Acute cholecystitis with chronic cholecystitis | J | Can lead a claim |
| K819 | Cholecystitis, unspecified | J | Can lead a claim |
| K820 | Obstruction of gallbladder | J | Can lead a claim |
| K821 | Hydrops of gallbladder | J | Can lead a claim |
| K822 | Perforation of gallbladder | J | Can lead a claim |
| K823 | Fistula of gallbladder | J | Can lead a claim |
| K824 | Cholesterolosis of gallbladder | J | Can lead a claim |
| K828 | Other specified diseases of gallbladder | J | Can lead a claim |
| K829 | Disease of gallbladder, unspecified | None | Cannot lead a claim |
| K82A1 | Gangrene of gallbladder in cholecystitis | None | Cannot lead a claim |
| K82A2 | Perforation of gallbladder in cholecystitis | None | Cannot lead a claim |
| K8301 | Primary sclerosing cholangitis | J | Can lead a claim |
| K8309 | Other cholangitis | J | Can lead a claim |
| K831 | Obstruction of bile duct | J | Can lead a claim |
| K832 | Perforation of bile duct | J | Can lead a claim |
| K833 | Fistula of bile duct | J | Can lead a claim |
| K834 | Spasm of sphincter of Oddi | J | Can lead a claim |
| K835 | Biliary cyst | J | Can lead a claim |
| K838 | Other specified diseases of biliary tract | J | Can lead a claim |
| K839 | Disease of biliary tract, unspecified | None | Cannot lead a claim |
| K8500 | Idiopathic acute pancreatitis without necrosis or infection | J | Can lead a claim |
| K8501 | Idiopathic acute pancreatitis with uninfected necrosis | J | Can lead a claim |
| K8502 | Idiopathic acute pancreatitis with infected necrosis | J | Can lead a claim |
| K8510 | Biliary acute pancreatitis without necrosis or infection | J | Can lead a claim |
| K8511 | Biliary acute pancreatitis with uninfected necrosis | A | Can lead a claim |
| K8512 | Biliary acute pancreatitis with infected necrosis | J | Can lead a claim |
| K8520 | Alcohol induced acute pancreatitis without necrosis or infct | J | Can lead a claim |
| K8521 | Alcohol induced acute pancreatitis with uninfected necrosis | A | Can lead a claim |
| K8522 | Alcohol induced acute pancreatitis with infected necrosis | J | Can lead a claim |
| K8530 | Drug induced acute pancreatitis without necrosis or infct | J | Can lead a claim |
| K8531 | Drug induced acute pancreatitis with uninfected necrosis | J | Can lead a claim |
| K8532 | Drug induced acute pancreatitis with infected necrosis | A | Can lead a claim |
| K8580 | Other acute pancreatitis without necrosis or infection | J | Can lead a claim |
| K8581 | Other acute pancreatitis with uninfected necrosis | J | Can lead a claim |
| K8582 | Other acute pancreatitis with infected necrosis | J | Can lead a claim |
| K8590 | Acute pancreatitis without necrosis or infection, unsp | J | Can lead a claim |
| K8591 | Acute pancreatitis with uninfected necrosis, unspecified | J | Can lead a claim |
| K8592 | Acute pancreatitis with infected necrosis, unspecified | J | Can lead a claim |
| K860 | Alcohol-induced chronic pancreatitis | J | Can lead a claim |
| K861 | Other chronic pancreatitis | J | Can lead a claim |
| K862 | Cyst of pancreas | J | Can lead a claim |
| K863 | Pseudocyst of pancreas | J | Can lead a claim |
| K8681 | Exocrine pancreatic insufficiency | J | Can lead a claim |
| K8689 | Other specified diseases of pancreas | J | Can lead a claim |
| K869 | Disease of pancreas, unspecified | None | Cannot lead a claim |
| K87 | Disord of GB, biliary trac and pancreas in dis classd elswhr | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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