2019 ICD-10-CM Diagnosis Code K22.4

Dyskinesia of esophagus

    2016 2017 2018 2019 Billable/Specific Code
  • K22.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM K22.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of K22.4 - other international versions of ICD-10 K22.4 may differ.
Applicable To
  • Corkscrew esophagus
  • Diffuse esophageal spasm
  • Spasm 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 K22.4. 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.
  • cardiospasm (
    ICD-10-CM Diagnosis Code K22.0

    Achalasia of cardia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Achalasia NOS
    • Cardiospasm
    Type 1 Excludes
    • congenital cardiospasm (Q39.5)
    K22.0
    )
The following code(s) above K22.4 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 K22.4:
  • K00-K95
    2019 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
    2019 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 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • esophageal varices (I85.-)
    Other diseases of esophagus
Approximate Synonyms
  • Diffuse spasm of esophagus
  • Esophageal dyskinesia
  • Esophageal dysmotility
  • Esophageal spasm
Clinical Information
  • A hypermotility disorder of the esophagus that is characterized by spastic non-peristaltic responses to swallowing; chest pain; and dysphagia.
  • Disorders affecting the motor function of the upper esophageal sphincter; lower esophageal sphincter; the esophagus body, or a combination of these parts. The failure of the sphincters to maintain a tonic pressure may result in gastric reflux of food and acid into the esophagus (gastroesophageal reflux). Other disorders include hypermotility (spastic disorders) and markedly increased amplitude in contraction (nutcracker esophagus).
ICD-10-CM K22.4 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
  • 392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

Convert K22.4 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

Diagnosis Index entries containing back-references to K22.4:
  • Bársony K22.4 (-Polgár) (-Teschendorf) syndrome (corkscrew esophagus)
  • Corkscrew esophagus K22.4
  • Curling esophagus K22.4
  • Disease, diseased - see also Syndrome
    • esophagus K22.9
      ICD-10-CM Diagnosis Code K22.9

      Disease of esophagus, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • functional K22.4
  • Disorder (of) - see also Disease
    • esophagus K22.9
      ICD-10-CM Diagnosis Code K22.9

      Disease of esophagus, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • functional K22.4
  • Dyskinesia G24.9
    ICD-10-CM Diagnosis Code G24.9

    Dystonia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Dyskinesia NOS
    • esophagus K22.4
  • Dysphagia R13.10
    ICD-10-CM Diagnosis Code R13.10

    Dysphagia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Difficulty in swallowing NOS
    • spastica K22.4
  • Esophagismus K22.4
  • Esophagospasm K22.4
  • Nutcracker esophagus K22.4
  • Spasm(s) R25.2
    - see also condition
    ICD-10-CM Diagnosis Code R25.2

    Cramp and spasm

      2016 2017 2018 2019 Billable/Specific Code
    Type 2 Excludes
  • Syndrome - see also Disease
    • Barsony-Polgar K22.4
    • Barsony-Teschendorf K22.4

ICD-10-CM Codes Adjacent To K22.4
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
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
K22.9 Disease of esophagus, unspecified

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