Skip to content

K31 ICD-10-CM Code: Other diseases of stomach and duodenum

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Diseases of esophagus, stomach and duodenum (K20-K31)

K31

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other diseases of stomach and duodenum

Other diseases of stomach and duodenum

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
K3Diseases of esophagus, stomach and duodenum (K20-K31)
K31Other diseases of stomach and duodenum

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K31 in this effective period.

Excludes 2

Official
  • diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)
  • diverticulum of duodenum (K57.00-K57.13)

Related Child Codes

Official
K31.0Acute dilatation of stomach
K31.1Adult hypertrophic pyloric stenosis
K31.2Hourglass stricture and stenosis of stomach
K31.3Pylorospasm, not elsewhere classified
K31.4Gastric diverticulum

Includes

Official
  • functional disorders of stomach

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for K31 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K31 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K31 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for K31 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

K31 is the ICD-10-CM diagnosis code for other diseases of stomach and duodenum. K31 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering diseases of esophagus, stomach and duodenum (k20-k31).

Header codes like K31 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K31's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K31 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • functional disorders of stomach

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

K31Other diseases of stomach and duodenum
K31Other diseases of stomach and duodenum

More on K31

Referenced in blog posts

Work K31 in HCC Buddy

Open K31 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.