K22.81
K22.81: Esophageal polyp
Billable / specific codeICD-10-CM
K22.81 is a billable, specific ICD-10-CM code for esophageal polyp. It is valid for submission on a claim.
Check K22.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- benign neoplasm of esophagus (D13.0)
Excludes2 inherited from the categories above K22.81
Not part of this code, but both may be coded when both are present.
Written on K22.8: Other specified diseases of esophagus
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K22.81 is named in 4 Medicare coverage policies: 4 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
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Alphabetic index entries that lead here
- Polyp, polypus›esophageal
Code history
Unchanged in every release from FY2024 to FY2027.