A69.0
A69.0: Necrotizing ulcerative stomatitis
Billable / specific codeICD-10-CM
A69.0 is a billable, specific ICD-10-CM code for necrotizing ulcerative stomatitis. It is valid for submission on a claim.
Check A69.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cancrum oris
- Fusospirochetal gangrene
- Noma
- Stomatitis gangrenosa
Other codes that can never be billed with A69.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K12Stomatitis and related lesions
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A69.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Alphabetic index entries that lead here
- Cancrum oris
- Noma(gangrenous) (hospital) (infective)
- Gangrene, gangrenous›fusospirochetal
- Gangrene, gangrenous›mouth
- Gangrene, gangrenous›stomatitis
- Necrosis, necrotic›stomatitis(ulcerative)
- Noma›mouth
- Stomatitis›gangrenous
- Stomatitis›necrotizing ulcerative
Code history
Unchanged in every release from FY2024 to FY2027.