ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K20

Non-Billable Header

Esophagitis

K20
Block
0
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM K20

ICD-10-CM code K20 represents Esophagitis. This is a non-billable header code in the Digestive System chapter (block K20). The 2026 edition of ICD-10-CM K20 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with K20. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • erosion of esophagus (K22.1-)
  • esophagitis with gastro-esophageal reflux disease (K21.0-)
  • reflux esophagitis (K21.0-)
  • ulcerative esophagitis (K22.1-)

Type 2 Excludes

Not included here, the excluded code is not part of K20, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • eosinophilic gastritis or gastroenteritis (K52.81)

Use Additional Code

When coding K20, also report these additional codes when applicable.

  • code to identify:
  • alcohol abuse and dependence (F10.-)

Medicare LCD Coverage for K20

Local Coverage Determinations (LCDs) from CMS MACs that list K20 as a covered diagnosis.

No Medicare LCDs reference K20 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K20.

1 policies

1 Cigna

Laboratory Testing Services - (0604)
Policy ID: MM_0604

CPT Codes Commonly Billed with K20

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for K20

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 K20, Billing FAQ

Is ICD-10 code K20 billable? +

No, K20 is a non-billable header code. Use a more specific child code from block K20 when submitting claims.

What codes are Type 1 Excludes for K20? +

Type 1 Excludes (never code together with K20): erosion of esophagus (K22.1-); esophagitis with gastro-esophageal reflux disease (K21.0-); reflux esophagitis (K21.0-)

What codes are Type 2 Excludes for K20? +

Type 2 Excludes (may be coded together when both conditions exist): eosinophilic gastritis or gastroenteritis (K52.81)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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