K91.30
BillablePostprocedural intestinal obstruction, unspecified as to partial versus complete
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is K91.30 an HCC code?
No. K91.30 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
K91.30 is the ICD-10-CM diagnosis code for postprocedural intestinal obstruction, unspecified as to partial versus complete. A blockage in the intestines that occurs after surgery, but it is unclear whether the blockage is partial or complete. K91.30 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering other diseases of the digestive system (k90-k95).
K91.30 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This is a non-specific code; use K91.31 or K91.32 if documentation specifies whether the obstruction is partial or complete.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K91.30 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.