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

ICD-10 K22.2

Billable / Specific

Esophageal obstruction

K22
Block
4
Synonyms
167
LCDs
6
Payer Policies
1
Linked CPTs

About ICD-10-CM K22.2

ICD-10-CM code K22.2 represents Esophageal obstruction. This is a billable/specific code in the Digestive System chapter (block K22). The 2026 edition of ICD-10-CM K22.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K22.2. Per CMS ICD-10-CM Tabular 2026.

  • Compression of esophagus
  • Constriction of esophagus
  • Stenosis of esophagus
  • Stricture of esophagus

Type 1 Excludes

Pure excludes, these codes can never be coded together with K22.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • congenital stenosis or stricture of esophagus (Q39.3)

Medicare LCD Coverage for K22.2

Local Coverage Determinations (LCDs) from CMS MACs that list K22.2 as a covered diagnosis.

167 LCDs

Showing top 10 of 167 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43246 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43243 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43235 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43250 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43247 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43249 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43254 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43245 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43244 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K22.2.

6 policies

5 Medicare

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: Swallowing Studies for Dysphagia
Policy ID: ART-56621
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with K22.2

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

1 linkages
  • 43753 Gastrostomy tube placement Gastroenterology

Convert K22.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
K22.2 5303 00000

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

ICD-10 K22.2, Billing FAQ

Is ICD-10 code K22.2 billable? +

Yes, K22.2 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 K22.2? +

ICD-10 K22.2 includes: Compression of esophagus; Constriction of esophagus; Stenosis of esophagus, and 1 more clinical synonyms.

What codes are Type 1 Excludes for K22.2? +

Type 1 Excludes (never code together with K22.2): congenital stenosis or stricture of esophagus (Q39.3)

What CPT codes are commonly billed with K22.2? +

Procedures frequently paired with K22.2 include: 43753.

What ICD-9 codes does K22.2 map to? +

Per CMS GEMs, K22.2 maps to ICD-9 codes: 5303. 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 July 16, 2026.

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