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

ICD-10 K31.7

Billable / Specific

Polyp of stomach and duodenum

K31
Block
0
Synonyms
206
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM K31.7

ICD-10-CM code K31.7 represents Polyp of stomach and duodenum. This is a billable/specific code in the Digestive System chapter (block K31). The 2026 edition of ICD-10-CM K31.7 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with K31.7. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • adenomatous polyp of stomach (D13.1)

Medicare LCD Coverage for K31.7

Local Coverage Determinations (LCDs) from CMS MACs that list K31.7 as a covered diagnosis.

206 LCDs

Showing top 10 of 206 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K31.7.

9 policies

5 Medicare

Oral Anticancer Drugs - Policy Article
Policy ID: ART-52479
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063

1 Aetna

Helicobacter Pylori Infection Testing
Policy ID: CPB-0177

CPT Codes Commonly Billed with K31.7

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

No procedure linkages on file for K31.7

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.

Convert K31.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
K31.7 2111 10000

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

ICD-10 K31.7, Billing FAQ

Is ICD-10 code K31.7 billable? +

Yes, K31.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for K31.7? +

Type 1 Excludes (never code together with K31.7): adenomatous polyp of stomach (D13.1)

What ICD-9 codes does K31.7 map to? +

Per CMS GEMs, K31.7 maps to ICD-9 codes: 2111. 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 June 1, 2026.

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