ICD-10-CM 2027
ICD-10 code for GERD (gastroesophageal reflux disease)
Confirmed by the official ICD-10-CM index entry “disease, diseased › gastroesophageal reflux (gerd)”. Page updated September 29, 2026.
About coding GERD
The ICD-10-CM code for GERD (gastroesophageal reflux disease) is K21.9 (Gastro-esophageal reflux disease without esophagitis). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on K21.9.
It is also searched as acid reflux, heartburn.
Within K21, choose K21.9 (without esophagitis) only when documentation doesn't support a more specific option: with esophagitis (K21.0).
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.
Related GERD codes
Common questions about GERD ICD-10 codes
What is the ICD-10 code for GERD?
- K21.9 — Gastro-esophageal reflux disease without esophagitis. More specific codes apply when the documentation supports them: K21.00, K21.01.
What is the ICD-10 code for gastro-esophageal reflux disease with esophagitis, without bleeding?
- K21.00 — Gastro-esophageal reflux disease with esophagitis, without bleeding.
What is the ICD-10 code for gastro-esophageal reflux disease with esophagitis, with bleeding?
- K21.01 — Gastro-esophageal reflux disease with esophagitis, with bleeding.
Is K21.9 billable?
- Yes. K21.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can K21.9 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict K21.9 as a principal diagnosis.
Is K21.9 a CC or MCC?
- No. K21.9 is neither a CC nor an MCC under MS-DRG v44.0.