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K31.A0 vs K44

K31.A0 (Gastric intestinal metaplasia, unspecified) compared with K44 (Diaphragmatic hernia), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

K31.A0
Gastric intestinal metaplasia, unspecified
K44
Diaphragmatic hernia

Distinct conditions — both may be reported.

“hiatus hernia (K44.-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. K31.A0 carries an Excludes2 note covering K44: “hiatus hernia (K44.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

K31.A0Gastric intestinal metaplasia, unspecifiedK44Diaphragmatic hernia
Billing statusBillableNon-billable header

Report instead: K44.0, K44.1, K44.9

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionGastric intestinal metaplasia, unspecified is a billable ICD-10-CM diagnosis code (K31.A0).Diaphragmatic hernia is a non-billable ICD-10-CM category code (K44).
Includes
functional disorders of stomach
Gastric intestinal metaplasia indefinite for dysplasia
Gastric intestinal metaplasia NOS
hiatus hernia (esophageal) (sliding)
paraesophageal hernia
acquired hernia
congenital [except diaphragmatic or hiatus] hernia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources