K22.0

K22.0: Achalasia of cardia

Billable / specific codeICD-10-CM

K22.0 is a billable, specific ICD-10-CM code for achalasia of cardia. It is valid for submission on a claim.

Check K22.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital cardiospasm (Q39.5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Achalasia NOS
Cardiospasm

Excludes2 inherited from the categories above K22.0

Not part of this code, but both may be coded when both are present.

Written on K22: Other diseases of esophagus

esophageal varices (I85.-)

Other codes that can never be billed with K22.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

K22.4Dyskinesia of esophagus

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K22.0 is named in 27 Medicare coverage policies: 27 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

Achalasia(cardia) (esophagus)
Aperistalsis, esophagus
Cardiospasm(esophagus) (reflex) (stomach)
Megaesophagus(functional)
Megaloesophagus(functional)
Incompetency, incompetent, incompetence›esophagogastric(junction) (sphincter)
Spasm, spastic, spasticity›cardia
Dilatation›esophagus›due to achalasia
Syndrome›gastroesophageal›junction

Code history

Unchanged in every release from FY2024 to FY2027.