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K22.719 ICD-10-CM Code: Barrett's esophagus with dysplasia, unspecified

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes1 · 2 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 380 — COMPLICATED PEPTIC ULCER WITH MCC (MDC 06)
  • MS-DRG 381 — COMPLICATED PEPTIC ULCER WITH CC (MDC 06)
  • MS-DRG 382 — COMPLICATED PEPTIC ULCER WITHOUT CC/MCC (MDC 06)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K22.719 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on K22.719 itself; “inherited from” names the category or block whose note applies here.

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).

Source: inherited from K22.7

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Coder workflow for K22.719

MedCoder structured workflow — derived from this code’s own official record

Before you code K22.719

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, K22.719 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewK22.710, K22.711

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. K22.719’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with K22.719. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — K22.719 is appropriate when the documentation goes no further.

    ReviewK22.710, K22.711

  2. Does the documentation support a condition named in K22.719’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.

    ReviewK22.1, C15

Consider K22.719. 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).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting K22.719(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with K22.719: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareK22.1, C15

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of K22.719(2 notes)

    Coding workflow: The conditions named in this note are not included in K22.719. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI85, K44

    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: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewK22.710, K22.711

Documentation: Both the condition K22.719 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).

ReviewK22.1, C15

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is K22.719 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

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.

Don’t confuse K22.719 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of K22.719 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • K22.1— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of Barrett's ulcer moves the case to K22.1; the two are not reported together unless documented as unrelated.

    Full comparison: K22.719 vs K22.1 →

  • C15— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of malignant neoplasm of esophagus moves the case to C15; the two are not reported together unless documented as unrelated.

    Full comparison: K22.719 vs C15 →

  • I85— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of esophageal varices adds I85; it is not part of this code and both may be reported when both are documented.

    Full comparison: K22.719 vs I85 →

  • K44— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of hiatus hernia adds K44; it is not part of this code and both may be reported when both are documented.

    Full comparison: K22.719 vs K44 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Barrett's esophagus with dysplasia, unspecified is a billable ICD-10-CM diagnosis code (K22.719).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:

Chapter 11: Diseases of the Digestive System (K00-K95)

Reserved for future guideline expansion

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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 K22.719 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 (via K22.7.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 380 (MDC 06), DRG 381 (MDC 06), DRG 382 (MDC 06).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):DIG004 — Esophageal disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Esophageal disorders).

K21.00 — Gastro-esophageal reflux disease with esophagitis, without bleeding, K21.01 — Gastro-esophageal reflux disease with esophagitis, with bleeding, K21.9 — Gastro-esophageal reflux disease without esophagitis, K22.0 — Achalasia of cardia, K22.10 — Ulcer of esophagus without bleeding, K22.11 — Ulcer of esophagus with bleeding, 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, K22.710 — Barrett's esophagus with low grade dysplasia, K22.711 — Barrett's esophagus with high grade dysplasia, K22.8 — Other specified diseases of esophagus, K22.81 — Esophageal polyp, K22.82 — Esophagogastric junction polyp, K22.89 — Other specified disease of esophagus, K22.9 — Disease of esophagus, unspecified, K23 — Disorders of esophagus in diseases classified elsewhere, +10 more

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)

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Fecal Occult Blood Test (FOBT), HIV Screening Test

Contextual Map

Every relationship of K22.719 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 K22.719 with this related code in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • K22.1 — Ulcer of esophagus[Excludes1](via K22.7.-): “Barrett's esophagus (K22.7-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,748 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Barrett's, esophagus, with dysplasia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (20)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 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. "K22.719 — Barrett's esophagus with dysplasia, unspecified." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/k22.719-barretts-esophagus-with-dysplasia-unspecified

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Barrett's esophagus with dysplasia, unspecified

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, 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 K22.719 in its code family, with their registry titles.

View all codes in the K22 family