ICD-10-CM Code K22.4

Dyskinesia of esophagus

Version 2020 Billable Code

Valid for Submission

K22.4 is a billable code used to specify a medical diagnosis of dyskinesia of esophagus. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K22.4 might also be used to specify conditions or terms like diffuse spasm, diffuse spasm of esophagus, esophageal dysmotility, esophageal dysmotility due to systemic disease, hypertensive lower esophageal sphincter, hypertensive spasm of cardiac sphincter, etc

ICD-10:K22.4
Short Description:Dyskinesia of esophagus
Long Description:Dyskinesia of esophagus

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K22.4:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Corkscrew esophagus
  • Diffuse esophageal spasm
  • Spasm of esophagus

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K22.4 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Diffuse spasm
  • Diffuse spasm of esophagus
  • Esophageal dysmotility
  • Esophageal dysmotility due to systemic disease
  • Hypertensive lower esophageal sphincter
  • Hypertensive spasm of cardiac sphincter
  • Nonspecific esophageal motility disorder
  • Nutcracker esophagus
  • Palatoesophageal incoordination
  • Spastic disorder of smooth muscle segment of esophagus

Diagnostic Related Groups

The ICD-10 code K22.4 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
  • 392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC

Convert K22.4 to ICD-9

  • 530.5 - Dyskinesia of esophagus

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Diseases of esophagus, stomach and duodenum (K20-K31)
      • Other diseases of esophagus (K22)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Esophagus Disorders

The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. You may also notice it when something is wrong. You may feel pain or have trouble swallowing.

The most common problem with the esophagus is GERD (gastroesophageal reflux disease). With GERD, a muscle at the end of your esophagus does not close properly. This allows stomach contents to leak back, or reflux, into the esophagus and irritate it. Over time, GERD can cause damage to the esophagus.

Other problems include heartburn, cancer, and eosinophilic esophagitis. Doctors may use various tests to make a diagnosis. These include imaging tests, an upper endoscopy, and a biopsy.

Treatment depends on the problem. Some problems get better with over-the-counter medicines or changes in diet. Others may need prescription medicines or surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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