2020 ICD-10-CM Diagnosis Code K22.1

Ulcer of esophagus

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K22.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM K22.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K22.1 - other international versions of ICD-10 K22.1 may differ.
Applicable To
  • 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
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • poisoning due to drug or toxin, if applicable (
    ICD-10-CM Diagnosis Code T36

    Poisoning by, adverse effect of and underdosing of systemic antibiotics

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • antineoplastic antibiotics (T45.1-)
    • locally applied antibiotic NEC (T49.0)
    • topically used antibiotic for ear, nose and throat (T49.6)
    • topically used antibiotic for eye (T49.5)
    T36
    -
    ICD-10-CM Diagnosis Code T65

    Toxic effect of other and unspecified substances

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    T65
    with fifth or sixth character 1-4 or 6)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K22.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Barrett's esophagus (
    ICD-10-CM Diagnosis Code K22.7

    Barrett's esophagus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Barrett's disease
    • Barrett's syndrome
    Type 1 Excludes
    • Barrett's ulcer (K22.1)
    • malignant neoplasm of esophagus (C15.-)
    K22.7-
    )
The following code(s) above K22.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K22.1:
  • K00-K95
    2020 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K20-K31
    2020 ICD-10-CM Range K20-K31

    Diseases of esophagus, stomach and duodenum

    Type 2 Excludes
    Diseases of esophagus, stomach and duodenum
  • K22
    ICD-10-CM Diagnosis Code K22

    Other diseases of esophagus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • esophageal varices (I85.-)
    Other diseases of esophagus
Clinical Information
  • A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the esophageal wall.
  • An ulcerated lesion in the esophageal wall.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to K22.1:
  • Type 1 Excludes: K20
    , K20
    , K22.7
    ICD-10-CM Diagnosis Code K20

    Esophagitis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • erosion of esophagus (K22.1-)
    • esophagitis with gastro-esophageal reflux disease (K21.0)
    • reflux esophagitis (K21.0)
    • ulcerative esophagitis (K22.1-)
    Type 2 Excludes
    • eosinophilic gastritis or gastroenteritis (K52.81)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    ICD-10-CM Diagnosis Code K20

    Esophagitis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • erosion of esophagus (K22.1-)
    • esophagitis with gastro-esophageal reflux disease (K21.0)
    • reflux esophagitis (K21.0)
    • ulcerative esophagitis (K22.1-)
    Type 2 Excludes
    • eosinophilic gastritis or gastroenteritis (K52.81)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    ICD-10-CM Diagnosis Code K22.7

    Barrett's esophagus

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Barrett's disease
    • Barrett's syndrome
    Type 1 Excludes
    • Barrett's ulcer (K22.1)
    • malignant neoplasm of esophagus (C15.-)
ICD-10-CM Codes Adjacent To K22.1
K14.9 Disease of tongue, unspecified
K20 Esophagitis
K20.0 Eosinophilic esophagitis
K20.8 Other esophagitis
K20.9 Esophagitis, unspecified
K21 Gastro-esophageal reflux disease
K21.0 Gastro-esophageal reflux disease with esophagitis
K21.9 Gastro-esophageal reflux disease without esophagitis
K22 Other diseases of esophagus
K22.0 Achalasia of cardia
K22.1 Ulcer of esophagus
K22.10 …… without bleeding
K22.11 …… with bleeding
K22.2 Esophageal obstruction
K22.3 Perforation of esophagus
K22.4 Dyskinesia of esophagus
K22.5 Diverticulum of esophagus, acquired
K22.6 Gastro-esophageal laceration-hemorrhage syndrome
K22.7 Barrett's esophagus
K22.70 …… without dysplasia
K22.71 Barrett's esophagus with dysplasia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.