K22.7 ICD-10-CM Code: Barrett's esophagus
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 2 Excludes1 · 2 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K22.7 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on K22.7 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Barrett's disease
- Barrett's syndrome
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- Barrett's ulcer (K22.1) Compare K22.7 vs K22.1 →
- malignant neoplasm of esophagus (C15.-) Compare K22.7 vs C15 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- esophageal varices (I85.-) inherited from K22Compare K22.7 vs I85 →
- hiatus hernia (K44.-) inherited from K20-K31Compare K22.7 vs K44 →
Coder workflow for K22.7
MedCoder structured workflow — derived from this code’s own official record
Before you code K22.7
- K22.7 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with K22.7. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath K22.7?
Yes → Select that code and continue the checks below on its own page.
No → K22.7 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in K22.7’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider K22.7. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting K22.7(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with K22.7: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of K22.7(2 notes)
Coding workflow: The conditions named in this note are not included in K22.7. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition K22.7 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name K22.7 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: K22.1 — Ulcer of esophagus.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Related Codes
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Metaplasia”; these codes share that main term but sit in a different category of the Tabular List.
D73.1 — Hypersplenism (spleen), K31.A0 — Gastric intestinal metaplasia, unspecified (gastric intestinal), K31.A11 — Gastric intestinal metaplasia without dysplasia, involving the antrum (gastric intestinal, without dysplasia, involving, antrum), K31.A12 — Gastric intestinal metaplasia without dysplasia, involving the body (corpus) (gastric intestinal, without dysplasia, involving, body), K31.A13 — Gastric intestinal metaplasia without dysplasia, involving the fundus (gastric intestinal, without dysplasia, involving, fundus), K31.A14 — Gastric intestinal metaplasia without dysplasia, involving the cardia (gastric intestinal, without dysplasia, involving, cardia), K31.A15 — Gastric intestinal metaplasia without dysplasia, involving multiple sites (gastric intestinal, without dysplasia, involving, multiple sites), K31.A19 — Gastric intestinal metaplasia without dysplasia, unspecified site (gastric intestinal, without dysplasia), K31.A21 — Gastric intestinal metaplasia with low grade dysplasia (gastric intestinal, with dysplasia, low grade), K31.A22 — Gastric intestinal metaplasia with high grade dysplasia (gastric intestinal, with dysplasia, high grade), K31.A29 — Gastric intestinal metaplasia with dysplasia, unspecified (gastric intestinal, with dysplasia), N28.89 — Other specified disorders of kidney and ureter (kidney), N32.89 — Other specified disorders of bladder (squamous cell, bladder), N85.8 — Other specified noninflammatory disorders of uterus (endometrium)
Contextual Map
Every relationship of K22.7 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run K22.7 with these 2 related codes in Claim Check
Hierarchy
- K00-K95 — Chapter 11: Diseases of the Digestive System (K00-K95) (K00-K95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K20-K31 — Diseases of esophagus, stomach and duodenum[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- C15 — Malignant neoplasm of esophagus[Excludes1]: “malignant neoplasm of esophagus (C15.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- K22.1 — Ulcer of esophagus[Excludes1]: “Barrett's ulcer (K22.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- K22.1 — Ulcer of esophagus[Excludes1]: “Barrett's esophagus (K22.7-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (20)
- K22 — Other diseases of esophagus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.0 — Achalasia of cardia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.1 — Ulcer of esophagus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.10 — Ulcer of esophagus without bleeding[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.11 — Ulcer of esophagus with bleeding[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.2 — Esophageal obstruction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.3 — Perforation of esophagus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K22.4 — Dyskinesia of esophagus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 12 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can K22.7 be billed directly?
No. K22.7 (Barrett's esophagus) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "K22.7 — Barrett's esophagus." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/k22.7-barretts-esophagus
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionBarrett's esophagus
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to K22.7 in its code family, with their registry titles.
- K22.2 — Esophageal obstruction
- K22.3 — Perforation of esophagus
- K22.4 — Dyskinesia of esophagus
- K22.5 — Diverticulum of esophagus, acquired
- K22.6 — Gastro-esophageal laceration-hemorrhage syndrome
- K22.70 — Barrett's esophagus without dysplasia
- K22.71 — Barrett's esophagus with dysplasia
- K22.710 — Barrett's esophagus with low grade dysplasia
- K22.711 — Barrett's esophagus with high grade dysplasia
- K22.719 — Barrett's esophagus with dysplasia, unspecified