K22.1

K22.1: Ulcer of esophagus

Non-billable headerICD-10-CM

K22.1 is a non-billable header ICD-10-CM code for ulcer of esophagus. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

Barrett's esophagus (K22.7-)

Code first

The underlying condition must be sequenced before this code.

poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inclusion terms

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

Barrett's ulcer
Erosion of esophagus
Fungal ulcer of esophagus
Peptic ulcer of esophagus
Ulcer of esophagus due to ingestion of chemicals
Ulcer of esophagus due to ingestion of drugs and medicaments
Ulcerative esophagitis

Excludes2 inherited from the categories above K22.1

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 K22.1

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

K20Esophagitis
K22.7Barrett's esophagus

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K22.1

2 child codes. Green means billable.