J34.81

J34.81: Nasal mucositis (ulcerative)

Billable / specific codeICD-10-CM

J34.81 is a billable, specific ICD-10-CM code for nasal mucositis (ulcerative). It is valid for submission on a claim.

Check J34.81 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

gastrointestinal mucositis (ulcerative) (K92.81)
mucositis (ulcerative) of vagina and vulva (N76.81)
oral mucositis (ulcerative) (K12.3-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

type of associated therapy, such as:
antineoplastic and immunosuppressive drugs (T45.1X-)
radiological procedure and radiotherapy (Y84.2)

Excludes2 inherited from the categories above J34.81

Not part of this code, but both may be coded when both are present.

Written on J34: Other and unspecified disorders of nose and nasal sinuses

varicose ulcer of nasal septum (I86.8)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J34.81 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56464Billing and Coding: Flow Cytometry
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

Alphabetic index entries that lead here

Mucositis›nasal

Code history

Unchanged in every release from FY2024 to FY2027.