2027 ICD-10-CM Diagnosis Code K22.11Ulcer of esophagus with bleeding

ICD-10-CM Codes›K00–K95›K20-K31›K22

ICD-10-CM K22.11
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K22.11 is a billable ICD-10-CM diagnosis code for ulcer of esophagus with bleeding. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 380 through 382. As a secondary diagnosis, it counts as a major complication or comorbidity (MCC) and places an inpatient stay in the highest severity level of its MS-DRG family. It does not count, however, when the principal diagnosis is one of 77 closely related codes. Coders also document this condition as bleeding ulcer of esophagus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Esophageal disorders and Gastrointestinal hemorrhage.

Code Identity

ICD-10-CM Code
K22.11
Billable Status
Yes — Valid for Submission
Code Describes
Ulcer of esophagus with bleeding
Short Description
Ulcer of esophagus with bleeding
Same as the full description in the CMS dataset.
Parent Code
K22.1
Ulcer of esophagus

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK20-K31Diseases of esophagus, stomach and duodenum
CategoryK22Other diseases of esophagus
This CodeK22.11Ulcer of esophagus with bleeding

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bleeding ulcer of esophagus
  • Esophageal bleeding due to ulcerative esophagitis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K22.11: its own notes plus those printed at K22.1, K22, block K20-K31, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From K22.1 Ulcer of esophagus applies to 2 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On K22.11 itself
From K22 Other diseases of esophagus applies to 16 codes
  • esophageal varices (I85.-)
From Block K20-K31 Diseases of esophagus, stomach and duodenum applies to 106 codes
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • 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)

Code First

The underlying condition named in the note is sequenced before this code.

From K22.1 Ulcer of esophagus applies to 2 codes
  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From K22.1 Ulcer of esophagus applies to 2 codes
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name K22.11, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming K22.11: they are not reported together with it, unless the two conditions are unrelated.

  • K20 Esophagitis
    erosion of esophagus (K22.1-) names K22.1-, which includes this code
  • K20 Esophagitis
    ulcerative esophagitis (K22.1-) names K22.1-, which includes this code
  • K22.7 Barrett's esophagus
    Barrett's ulcer (K22.1) names K22.1, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG004
Esophageal disorders
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DIG021
Gastrointestinal hemorrhage
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Esophagus Disorders

Esophagus disorders are problems with how your esophagus works. The esophagus is the tube that carries food from your mouth to your stomach. You usually don't notice it unless you swallow something too big, hot, or cold. You might also notice it if something is wrong.

The full article covers:

  • What are esophagus disorders?
  • What causes esophagus disorders?
  • What are common esophagus disorders?
  • What are symptoms of esophagus disorders?
  • How are esophagus disorders diagnosed?
  • How are esophagus disorders treated?
  • Can esophagus disorders be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K22.11 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
530.21 Ulcer esophagus w bleed
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K22.11Overview

What is the ICD-10 code for ulcer of esophagus with bleeding?

The ICD-10-CM code for ulcer of esophagus with bleeding is K22.11 (sometimes written as K2211). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K22.11 (Ulcer of esophagus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report ulcer of esophagus with bleeding on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K22.11 group to?

When ulcer of esophagus with bleeding is the principal diagnosis on an inpatient stay, it groups to MS-DRG 381, 380, 382, with relative weights from 0.7283 to 1.9243 depending on complications. Higher weights mean higher Medicare reimbursement.

Is K22.11 a CC or MCC?

CMS lists K22.11 as an MCC (major complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it places the inpatient stay in the highest-weighted DRG of its severity family. It does not count when the principal diagnosis is one of the 77 closely related codes in its exclusion list.

Can K22.11 be reported with a code from K22.7?

Not as a rule. The Excludes1 note at K22.1, which applies to K22.11, lists "Barrett's esophagus (K22.7-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).