ICD-10 Code K22.71 – Barrett’s esophagus with dysplasia (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K22.71 – Barrett’s esophagus with dysplasia
What it is
K22.71 identifies Barrett’s esophagus when the abnormal lining of the lower esophagus also shows dysplasia, meaning precancerous cellular change. Use it for documented Barrett’s esophagus with confirmed dysplastic findings.
Clinical signs
Clinical features vary; refer to documentation. Diagnosis usually depends on endoscopic findings and pathology showing Barrett’s mucosa with dysplasia, which may be reported as low-grade or high-grade.
When to use this code
Use this code when the provider documents Barrett’s esophagus and pathology confirms dysplasia. It also fits follow-up visits where the diagnosis remains active and the record continues to state Barrett’s with dysplasia.
If the note only says Barrett’s esophagus without dysplasia, do not use this code. Check documentation when the degree of dysplasia is unclear or when pathology results are pending.
Do not use for
Do not use K22.71 for Barrett’s esophagus without dysplasia or for nonspecific esophagitis. Do not assume dysplasia from symptoms alone; the record must support it.
Coding tip
Verify that dysplasia is explicitly documented, and code the highest confirmed level only when the pathology report supports it.