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Home/Diagnosis/ICD-10 Coding for Stomatitis

ICD-10 Coding for Stomatitis

K12.1
K12.31

Complete ICD-10-CM coding and documentation guide for icd-10 coding for stomatitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Oral Mucositis
Mouth Sores
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Key Information: ICD-10 Coding for Stomatitis

Essential facts and insights about ICD-10 Coding for Stomatitis

Use ICD-10 code K12.1 for other forms of stomatitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other forms of stomatitis

Billable Code
K12.1
Billable

Diagnostic Criteria

  • • Presence of oral ulcers without specific etiology

Applicable To

  • • Aphthous stomatitis
  • • Contact stomatitis

Important Notes

  • • Ensure to document the specific type and cause of stomatitis.

Ulcerative stomatitis due to antineoplastic therapy

Billable Code
K12.31
Billable

Diagnostic Criteria

  • • Patient undergoing chemotherapy
  • • Temporal relationship between chemotherapy and onset of symptoms

Applicable To

  • • Chemotherapy-induced stomatitis

Important Notes

  • • Ensure chemotherapy encounter is documented and coded.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke

Use when tobacco exposure is a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for stomatitis?

The ICD-10 code for other forms of stomatitis is K12.1. For chemotherapy-induced stomatitis, use K12.31 with Z51.11.

How to code chemotherapy-induced stomatitis?

For chemotherapy-induced stomatitis, use K12.31 and sequence Z51.11 first for the chemotherapy encounter.

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