ICD-10 · PDGM grouping
K90-K95 — Other diseases of the digestive system
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
67
No clinical group
5
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
43 of the 67 codes in K90-K95 group to MMTA - Gastrointestinal tract and Genitourinary system, but the range is not uniform — it spreads across 3 clinical groups. A further 5 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in K90-K95
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- K90Intestinal malabsorption13 codes
- K91Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified24 codes
- K92Other diseases of digestive system6 codes
- K94Complications of artificial openings of the digestive system20 codes
- K95Complications of bariatric procedures4 codes
Every code in K90-K95
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| K900 | Celiac disease | J | Can lead a claim |
| K901 | Tropical sprue | J | Can lead a claim |
| K902 | Blind loop syndrome, not elsewhere classified | A | Can lead a claim |
| K903 | Pancreatic steatorrhea | J | Can lead a claim |
| K9041 | Non-celiac gluten sensitivity | J | Can lead a claim |
| K9049 | Malabsorption due to intolerance, not elsewhere classified | J | Can lead a claim |
| K9081 | Whipple's disease | J | Can lead a claim |
| K90821 | Short bowel syndrome with colon in continuity | J | Can lead a claim |
| K90822 | Short bowel syndrome without colon in continuity | J | Can lead a claim |
| K90829 | Short bowel syndrome, unspecified | J | Can lead a claim |
| K9083 | Intestinal failure | J | Can lead a claim |
| K9089 | Other intestinal malabsorption | J | Can lead a claim |
| K909 | Intestinal malabsorption, unspecified | J | Can lead a claim |
| K910 | Vomiting following gastrointestinal surgery | J | Can lead a claim |
| K911 | Postgastric surgery syndromes | J | Can lead a claim |
| K912 | Postsurgical malabsorption, not elsewhere classified | J | Can lead a claim |
| K9130 | Postproc intestinal obst, unsp as to partial versus complete | J | Can lead a claim |
| K9131 | Postprocedural partial intestinal obstruction | J | Can lead a claim |
| K9132 | Postprocedural complete intestinal obstruction | J | Can lead a claim |
| K915 | Postcholecystectomy syndrome | J | Can lead a claim |
| K9161 | Intraop hemor/hemtom of dgstv sys org comp a dgstv sys proc | J | Can lead a claim |
| K9162 | Intraop hemor/hemtom of a dgstv sys org comp oth procedure | J | Can lead a claim |
| K9171 | Accidental pnctr & lac of a dgstv sys org dur dgstv sys proc | J | Can lead a claim |
| K9172 | Acc pnctr & lac of a dgstv sys org during oth procedure | J | Can lead a claim |
| K9181 | Other intraoperative complications of digestive system | J | Can lead a claim |
| K9182 | Postprocedural hepatic failure | A | Can lead a claim |
| K9183 | Postprocedural hepatorenal syndrome | A | Can lead a claim |
| K91840 | Postproc hemor of a dgstv sys org fol a dgstv sys procedure | J | Can lead a claim |
| K91841 | Postproc hemor of a dgstv sys org following other procedure | J | Can lead a claim |
| K91850 | Pouchitis | J | Can lead a claim |
| K91858 | Other complications of intestinal pouch | J | Can lead a claim |
| K9186 | Retained cholelithiasis following cholecystectomy | J | Can lead a claim |
| K91870 | Postproc hematoma of a dgstv sys org fol a dgstv sys proc | J | Can lead a claim |
| K91871 | Postproc hematoma of a dgstv sys org fol other procedure | J | Can lead a claim |
| K91872 | Postproc seroma of a dgstv sys org fol a dgstv sys procedure | J | Can lead a claim |
| K91873 | Postproc seroma of a dgstv sys org following other procedure | J | Can lead a claim |
| K9189 | Oth postprocedural complications and disorders of dgstv sys | J | Can lead a claim |
| K920 | Hematemesis | J | Can lead a claim |
| K921 | Melena | J | Can lead a claim |
| K922 | Gastrointestinal hemorrhage, unspecified | J | Can lead a claim |
| K9281 | Gastrointestinal mucositis (ulcerative) | J | Can lead a claim |
| K9289 | Other specified diseases of the digestive system | J | Can lead a claim |
| K929 | Disease of digestive system, unspecified | None | Cannot lead a claim |
| K9400 | Colostomy complication, unspecified | None | Cannot lead a claim |
| K9401 | Colostomy hemorrhage | D | Can lead a claim |
| K9402 | Colostomy infection | D | Can lead a claim |
| K9403 | Colostomy malfunction | D | Can lead a claim |
| K9409 | Other complications of colostomy | D | Can lead a claim |
| K9410 | Enterostomy complication, unspecified | None | Cannot lead a claim |
| K9411 | Enterostomy hemorrhage | D | Can lead a claim |
| K9412 | Enterostomy infection | D | Can lead a claim |
| K9413 | Enterostomy malfunction | D | Can lead a claim |
| K9419 | Other complications of enterostomy | D | Can lead a claim |
| K9420 | Gastrostomy complication, unspecified | None | Cannot lead a claim |
| K9421 | Gastrostomy hemorrhage | D | Can lead a claim |
| K9422 | Gastrostomy infection | D | Can lead a claim |
| K9423 | Gastrostomy malfunction | D | Can lead a claim |
| K9429 | Other complications of gastrostomy | D | Can lead a claim |
| K9430 | Esophagostomy complications, unspecified | None | Cannot lead a claim |
| K9431 | Esophagostomy hemorrhage | D | Can lead a claim |
| K9432 | Esophagostomy infection | D | Can lead a claim |
| K9433 | Esophagostomy malfunction | D | Can lead a claim |
| K9439 | Other complications of esophagostomy | D | Can lead a claim |
| K9501 | Infection due to gastric band procedure | J | Can lead a claim |
| K9509 | Other complications of gastric band procedure | J | Can lead a claim |
| K9581 | Infection due to other bariatric procedure | J | Can lead a claim |
| K9589 | Other complications of other bariatric procedure | J | Can 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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