K22.5

K22.5: Diverticulum of esophagus, acquired

Billable / specific codeICD-10-CM

K22.5 is a billable, specific ICD-10-CM code for diverticulum of esophagus, acquired. It is valid for submission on a claim.

Check K22.5 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.

diverticulum of esophagus (congenital) (Q39.6)

Inclusion terms

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

Esophageal pouch, acquired

Excludes2 inherited from the categories above K22.5

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

Written on K22: Other diseases of esophagus

esophageal varices (I85.-)

Risk adjustment

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

Medicare coverage

K22.5 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56621Billing and Coding: Swallowing Studies for Dysphagia
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

Alphabetic index entries that lead here

Esophagocele
Zenker's diverticulum(esophagus)
Diverticulum, diverticula›epiphrenic(esophagus)
Diverticulum, diverticula›midthoracic
Diverticulum, diverticula›Rokitansky's
Diverticulum, diverticula›Zenker's(esophagus)
Diverticulum, diverticula›esophagus›acquired(epiphrenic) (pulsion) (traction)
Diverticulum, diverticula›pharyngoesophageal›acquired
Pouch›esophagus, esophageal, congenital›acquired

Code history

Unchanged in every release from FY2024 to FY2027.