K31.7
K31.7: Polyp of stomach and duodenum
Billable / specific codeICD-10-CM
K31.7 is a billable, specific ICD-10-CM code for polyp of stomach and duodenum. It is valid for submission on a claim.
Check K31.7 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.
- adenomatous polyp of stomach (D13.1)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K31.7 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52479Oral Anticancer Drugs - Policy Article
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Polyp, polypus›duodenum
- Polyp, polypus›stomach
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under K31
- K31.0Acute dilatation of stomach
- K31.1Adult hypertrophic pyloric stenosis
- K31.BHypertrophic pyloric stenosis, in childhood
- K31.2Hourglass stricture and stenosis of stomach
- K31.3Pylorospasm, not elsewhere classified
- K31.4Gastric diverticulum
- K31.5Obstruction of duodenum
- K31.6Fistula of stomach and duodenum
- K31.8Other specified diseases of stomach and duodenum
- K31.9Disease of stomach and duodenum, unspecified
- K31.AGastric intestinal metaplasia