2026 ICD-10-CM Diagnosis Code K92.81Gastrointestinal mucositis (ulcerative)

ICD-10-CM CodesK00–K95K90-K95K92

ICD-10-CM K92.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K92.81 is a billable ICD-10-CM diagnosis code for gastrointestinal mucositis (ulcerative). It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 391 through 392. Coders also document this condition as gastrointestinal mucositis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified gastrointestinal disorders.

Code Identity

ICD-10-CM Code
K92.81
Billable Status
Yes — Valid for Submission
Code Describes
Gastrointestinal mucositis (ulcerative)
Short Description
Gastrointestinal mucositis (ulcerative)
Same as the full description in the CMS dataset.
Parent Code
Other specified diseases of the digestive system

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK90-K95Other diseases of the digestive system
CategoryK92Other diseases of digestive system
This CodeK92.81Gastrointestinal mucositis (ulcerative)

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Gastrointestinal mucositis
  • Ulcerative gastrointestinal mucositis

Tabular List NotesGuidance

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

Code Also

  • type of associated therapy, such as:
  • antineoplastic and immunosuppressive drugs T45.1X
  • radiological procedure and radiotherapy Y84.2

Type 2 Excludes

  • mucositis ulcerative of vagina and vulva N76.81
  • nasal mucositis ulcerative J34.81
  • oral mucositis ulcerative K12.3

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.

    • Mucositis(ulcerative)
      • gastrointestinal

Clinical ClassificationClinical

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

CCSR DIG025
Other specified and unspecified gastrointestinal disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Digestive Diseases

When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion.

Read the full article at MedlinePlus

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

Convert K92.81 to ICD-9-CMHistory

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

ICD-9-CM
538 GI mucositis (ulceratve)
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 K92.81Overview

Is K92.81 (Other specified diseases of the digestive system) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report gastrointestinal mucositis (ulcerative) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K92.81 group to?

When gastrointestinal mucositis (ulcerative) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 391, 392, with relative weights from 0.7796 to 1.2683 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K92.81?

Under the General Equivalence Mappings, gastrointestinal mucositis (ulcerative) converts to ICD-9-CM 538 (GI mucositis (ulceratve)). 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.