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ICD-10-CM 2027 diagnosis code

K31.A22Gastric intestinal metaplasia with high grade dysplasia

✓ Billable / specific

K31.A22 is a valid, billable ICD-10-CM code for gastric intestinal metaplasia with high grade dysplasia. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About K31.A22

K31.A22 is the ICD-10-CM diagnosis code for gastric intestinal metaplasia with high grade dysplasia. It belongs to category K31 (other diseases of stomach and duodenum), block K20-K31 (diseases of esophagus, stomach and duodenum) and chapter 11 (diseases of the digestive system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within K31.A2 (gastric intestinal metaplasia with dysplasia), K31.A22 is specifically for gastric intestinal metaplasia with high grade dysplasia. Related codes cover low grade dysplasia (K31.A21) and unspecified (K31.A29).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2022, effective October 1, 2021.

Notes that apply from higher levels

Instructions written at a parent level also apply to K31.A22.

› From K31 Other diseases of stomach and duodenum
Includes
  • functional disorders of stomach
Excludes2

Broader instructions also apply from K20-K31 Diseases of esophagus, stomach and duodenum and Chapter 11: Diseases of the digestive system.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to K31.A22.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about K31.A22

Is K31.A22 billable?

Yes. K31.A22 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K31.A22 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K31.A22 as a principal diagnosis.

Is K31.A22 a CC or MCC?

No. K31.A22 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does K31.A22 group to?

K31.A22 is used in the MS-DRG v44.0 logic for MS-DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC) and MS-DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.