Stomatitis and related lesions
In Diseases of oral cavity and salivary glands (K00-K14), chapter 11: Diseases of the Digestive System
8 billable codes under K12: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Excludes1: not coded here, use a different code
Use additional code: add a second code for this, listed after this one
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.
All codes under K12
K12 can't be used on a claim. Pick a billable code below; grey headings group them.
- K12.0Recurrent oral aphthae
- K12.1Other forms of stomatitis
- K12.2Cellulitis and abscess of mouth
- K12.3Oral mucositis (ulcerative)
- K12.30Oral mucositis (ulcerative), unspecified
- K12.31Oral mucositis (ulcerative) due to antineoplastic therapy
- K12.32Oral mucositis (ulcerative) due to other drugs
- K12.33Oral mucositis (ulcerative) due to radiation
- K12.39Other oral mucositis (ulcerative)
K12 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to K12
Notes on these codes point to K12.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Mouth Disorders
Your mouth is one of the most important parts of your body. It has many different functions. It allows you to: Any problem that affects your mouth can make it hard to eat, drink, or even smile. Some common mouth problems include:
Read more about mouth disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
