2023 ICD-10-CM Diagnosis Code K22.3

Perforation of esophagus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • K22.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM K22.3 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of K22.3 - other international versions of ICD-10 K22.3 may differ.
Applicable To
  • Rupture of esophagus
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 K22.3. 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.
  • traumatic perforation of (thoracic) esophagus (
    ICD-10-CM Diagnosis Code S27.8

    Injury of other specified intrathoracic organs

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    S27.8-
    )
The following code(s) above K22.3 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 K22.3:
  • K00-K95
    2023 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
    2023 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 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • esophageal varices (I85.-)
    Other diseases of esophagus
Approximate Synonyms
  • Esophageal perforation
Clinical Information
  • A disorder characterized by a rupture in the wall of the esophagus.
  • An opening or hole in the esophagus that is caused by trauma, injury, or pathological process.
  • The presence of a hole or other type of opening in the esophageal wall through which the contents of the esophagus can pass into the mediastinum. The most common cause of esophageal perforation is injury during a medical procedure such as esophagoscopy or placement of a naso-gastric tube; and pathologic process such as neoplasm or gastric reflux with ulceration. Less common causes include injuries from penetrating or blunt trauma or injury to the esophagus during an operation on another organ, mechanical problem such as violent retching or vomiting; ingestion of a foreign body or caustic agents. The condition often results in infection of the mediastinum and mediastinitis.
ICD-10-CM K22.3 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 368 Major esophageal disorders with mcc
  • 369 Major esophageal disorders with cc
  • 370 Major esophageal disorders without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert K22.3 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to K22.3:
  • Code First: J93.12
    ICD-10-CM Diagnosis Code J93.12

    Secondary spontaneous pneumothorax

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Code First
    • underlying condition, such as:
    • catamenial pneumothorax due to endometriosis (N80.B-)
    • cystic fibrosis (E84.-)
    • eosinophilic pneumonia (J82)
    • lymphangioleiomyomatosis (J84.81)
    • malignant neoplasm of bronchus and lung (C34.-)
    • Marfan's syndrome (Q87.4)
    • pneumonia due to Pneumocystis carinii (B59)
    • secondary malignant neoplasm of lung (C78.0-)
    • spontaneous rupture of the esophagus (K22.3)

Diagnosis Index entries containing back-references to K22.3:

ICD-10-CM Codes Adjacent To K22.3
K21.0 Gastro-esophageal reflux disease with esophagitis
K21.00 …… without bleeding
K21.01 …… with bleeding
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
K22.710 Barrett's esophagus with low grade dysplasia
K22.711 Barrett's esophagus with high grade dysplasia
K22.719 …… unspecified
K22.8 Other specified diseases of esophagus

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