K22.3 Perforation of esophagus

The ICD-10-CM code for Perforation of esophagus is K22.3 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

11: Diseases of the digestive system (K00-K95)

Section

K20-K31: Diseases of esophagus, stomach and duodenum (K20-K31)

Category K22

21 codes (16 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to K22.3:

• Boerhaave's syndrome (spontaneous esophageal rupture)
• Syndrome › Boerhaave's
• Rupture, ruptured › esophagus
• Perforation, perforated (nontraumatic) (of) › esophagus

Inclusion Terms

• Rupture of esophagus

U.S. Hospital Utilization

• An estimated 8,910 U.S. inpatient stays in 2023 included K22.3 among the documented diagnoses.
• 2,245 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 11 reserved for future expansion

11. Chapter 11: Diseases of the Digestive System (K00-K95) Reserved for future guideline expansion

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)