ICDcodes.org
FY2027

K22.3 — Perforation of esophagus

BillableMCC

Is K22.3 billable?

Yes — K22.3 is billable for FY2027. K22.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. K22.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.

K22.3 at a glance

CodeK22.3
DescriptionPerforation of esophagus
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does K22.3 group to?

K22.3 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 368Major Esophageal Disorders with MCCmedical
  • 369Major Esophageal Disorders with CCmedical
  • 370Major Esophageal Disorders without CC/MCCmedical

As a secondary diagnosis, K22.3 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is K22.3 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to K22.3. They show the wording a clinician may have documented, which often differs from the Tabular description.

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

Excludes1 — never code together

The conditions below can never be reported together with K22.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • traumatic perforation of (thoracic) esophagus (S27.8-)

Inclusion terms

Alternative wording in documentation that is classified to K22.3.

  • Rupture of esophagus

Excludes2 — not included here — inherited from Chapter 11

The conditions below are not part of K22.3, but a patient may have both at the same time. When documentation supports it, K22.3 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Excludes2 — not included here — inherited from K20-K31

The conditions below are not part of K22.3, but a patient may have both at the same time. When documentation supports it, K22.3 and the excluded code may both be reported.

Excludes2 — not included here — inherited from K22

The conditions below are not part of K22.3, but a patient may have both at the same time. When documentation supports it, K22.3 and the excluded code may both be reported.

  • esophageal varices (I85.-)

How long has K22.3 existed?

K22.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with K22.3?

ICD-10-CM declares these codes mutually exclusive with K22.3 — exactly one of each pair can be correct for a given encounter.

What other codes are in the K22 family? (9)