K22.3 Perforation of esophagus

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Rupture of esophagus

Excludes1 (never code together)

• traumatic perforation of (thoracic) esophagus (S27.8-)

Applies from K22 Other diseases of esophagus

Excludes2 (not included here)

• esophageal varices (I85.-)

MS-DRG index

Defines the logic of DRG(s) 368-370 in MDC 06.

Approximate ICD-9-CM (GEMs)

• 530.4 Perforation of esophagus

Code annotations containing back-references to K22.3

Back-references to K22.3

• Code First: J93.12 Secondary spontaneous pneumothorax ("spontaneous rupture of the esophagus (K22.3)")

Diagnosis Index entries for K22.3

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

Nearby codes

• K22.0 Achalasia of cardia
• K22.1 Ulcer of esophagus
• K22.10 Ulcer of esophagus without bleeding
• K22.11 Ulcer of esophagus with bleeding
• K22.2 Esophageal obstruction
• K22.3 Perforation of esophagus (this code)
• K22.4 Dyskinesia of esophagus
• K22.5 Diverticulum of esophagus, acquired
• K22.6 Gastro-esophageal laceration-hemorrhage syndrome
• K22.7 Barrett's esophagus
• K22.70 Barrett's esophagus without dysplasia