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

ICD-10 K22.0

Billable / Specific

Achalasia of cardia

K22
Block
2
Synonyms
713
LCDs
31
Payer Policies
2
Linked CPTs

About ICD-10-CM K22.0

ICD-10-CM code K22.0 represents Achalasia of cardia. This is a billable/specific code in the Digestive System chapter (block K22). The 2026 edition of ICD-10-CM K22.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K22.0. Per CMS ICD-10-CM Tabular 2026.

  • Achalasia NOS
  • Cardiospasm

Type 1 Excludes

Pure excludes, these codes can never be coded together with K22.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • congenital cardiospasm (Q39.5)

Medicare LCD Coverage for K22.0

Local Coverage Determinations (LCDs) from CMS MACs that list K22.0 as a covered diagnosis.

713 LCDs

Showing top 10 of 713 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K22.0.

31 policies

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619

CPT Codes Commonly Billed with K22.0

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

2 linkages
  • 43753 Gastrostomy tube placement Gastroenterology
  • 43497 CMS LCD: Billing and Coding: Peroral Endoscopic Myotomy (POEM) CMS LCD

Convert K22.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K22.0 5300 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 K22.0, Billing FAQ

Is ICD-10 code K22.0 billable? +

Yes, K22.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K22.0? +

ICD-10 K22.0 includes: Achalasia NOS; Cardiospasm.

What codes are Type 1 Excludes for K22.0? +

Type 1 Excludes (never code together with K22.0): congenital cardiospasm (Q39.5)

What CPT codes are commonly billed with K22.0? +

Procedures frequently paired with K22.0 include: 43753, 43497.

What ICD-9 codes does K22.0 map to? +

Per CMS GEMs, K22.0 maps to ICD-9 codes: 5300. Useful for legacy data review and historical claim analysis.

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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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