K22.11 — Ulcer of esophagus with bleeding
K22.11 is a billable, specific ICD-10-CM code for ulcer of esophagus with bleeding. It is valid for submission on a claim.
Risk adjustment
K22.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K22.11 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57326Billing and Coding: Electrocardiograms
How K22.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K22.11.
- Barrett's›ulcer›with bleeding
- Erosion›esophagus›with bleeding
- Esophagitis›ulcerative›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›Barrett's›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›cardia›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›cardioesophageal›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›esophagus›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›esophagus›fungal›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›esophagus›infective›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›peptic›esophagus›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›esophagus›due to›aspirin›with bleeding
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›esophagus›due to›ingestion of chemical or medicament›with bleeding
Related codes at this level
Codes that share K22.1. If K22.11 is not quite right, the correct code is usually one of these.
Questions about K22.11
- Is K22.11 a billable ICD-10-CM code?
- Yes. K22.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K22.11 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of esophagus, stomach and duodenum (K20-K31).