ICD-10 Code K22.11 – Ulcer of esophagus with bleeding (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K22.11 – Ulcer of esophagus with bleeding
What it is
K22.11 identifies an ulcer in the esophagus that is actively bleeding or has evidence of bleeding. Use it when the record documents esophageal ulceration with hemorrhage.
Clinical signs
Clinical features vary; refer to documentation. Commonly, you may see dysphagia, odynophagia, chest discomfort, or signs of upper gastrointestinal bleeding such as hematemesis or melena.
When to use this code
Use K22.11 when the provider clearly documents an esophageal ulcer and bleeding is present or described. It fits endoscopic or clinical diagnoses that specify hemorrhage from the ulcer. If the note only says esophagitis, reflux, or ulcer without bleeding, do not assign this code.
Do not use for
Do not use this code for esophageal ulcer without bleeding, which is coded separately. Also avoid it when the bleeding source is another gastrointestinal lesion or when documentation is unclear; check documentation.
Coding tip
Confirm both elements in the record: esophageal ulcer and bleeding, before assigning K22.11.