October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

K22 Other diseases of esophagus

All 16 codes in the K22 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

16

Can lead a claim

15

Cannot lead a claim

1

What CMS assigns to K22

15 of the 16 codes group to MMTA - Gastrointestinal tract and Genitourinary system; 1 is assigned no clinical group. None of the 16 is assigned a comorbidity subgroup. 15 of the 16 can lead a claim. CMS attaches a code-first note to 2 of the 16.

Code first

CMS grouper convention 13, on K22.10, K22.11. Code first:

  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Every code in K22

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
K22.0Achalasia of cardiaCan lead a claimJNone
K22.1 Ulcer of esophagus
K22.10Ulcer of esophagus without bleedingCan lead a claim, code first appliesJNone
K22.11Ulcer of esophagus with bleedingCan lead a claim, code first appliesJNone
K22.2Esophageal obstructionCan lead a claimJNone
K22.3Perforation of esophagusCan lead a claimJNone
K22.4Dyskinesia of esophagusCan lead a claimJNone
K22.5Diverticulum of esophagus, acquiredCan lead a claimJNone
K22.6Gastro-esophageal laceration-hemorrhage syndromeCan lead a claimJNone
K22.7 Barrett's esophagus
K22.70Barrett's esophagus without dysplasiaCan lead a claimJNone
K22.71 Barrett's esophagus with dysplasia
K22.710Barrett's esophagus with low grade dysplasiaCan lead a claimJNone
K22.711Barrett's esophagus with high grade dysplasiaCan lead a claimJNone
K22.719Barrett's esophagus with dysplasia, unspecifiedCan lead a claimJNone
K22.8 Other specified diseases of esophagus
K22.81Esophageal polypCan lead a claimJNone
K22.82Esophagogastric junction polypCan lead a claimJNone
K22.89Other specified disease of esophagusCan lead a claimJNone
K22.9Disease of esophagus, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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