2026 ICD-10-CM Diagnosis Code K22.3Perforation of esophagus

ICD-10-CM CodesK00–K95K20-K31K22

ICD-10-CM K22.3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K22.3 is a billable ICD-10-CM diagnosis code for perforation of esophagus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 368 through 370. Coders also document this condition as perforated carcinoma of esophagus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Esophageal disorders and Gastrointestinal and biliary perforation.

Code Identity

ICD-10-CM Code
K22.3
Billable Status
Yes — Valid for Submission
Code Describes
Perforation of esophagus
Short Description
Perforation of esophagus
Same as the full description in the CMS dataset.
Parent Code
Other diseases of esophagus

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK20-K31Diseases of esophagus, stomach and duodenum
CategoryK22Other diseases of esophagus
This CodeK22.3Perforation of esophagus

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Perforated carcinoma of esophagus
  • Perforation of esophagus
  • Rupture of esophagus
  • Spontaneous rupture of esophagus

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Rupture of esophagus

Type 1 Excludes

  • traumatic perforation of thoracic esophagus S27.8

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Boerhaave's syndrome(spontaneous esophageal rupture)
    • Perforation, perforated(nontraumatic) (of)
      • esophagus
    • Rupture, ruptured
      • esophagus
    • Syndrome
      • Boerhaave's

Clinical ClassificationClinical

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

CCSR DIG004
Esophageal disorders
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG006
Gastrointestinal and biliary perforation
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert K22.3 to ICD-9-CMHistory

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

ICD-9-CM
530.4 Perforation of esophagus
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K22.3Overview

Is K22.3 (Other diseases of esophagus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report perforation of esophagus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K22.3 group to?

When perforation of esophagus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 368, 369, 370, with relative weights from 0.7008 to 1.5919 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K22.3?

Under the General Equivalence Mappings, perforation of esophagus converts to ICD-9-CM 530.4 (perforation of esophagus). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.