K11.5
K11.5: Sialolithiasis
Billable / specific codeICD-10-CM
K11.5 is a billable, specific ICD-10-CM code for sialolithiasis. It is valid for submission on a claim.
Check K11.5 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Calculus of salivary gland or duct
- Stone of salivary gland or duct
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K11.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Ptyalolithiasis
- Sialodocholithiasis
- Sialolithiasis
- Calculus, calculi, calculous›parotid duct or gland
- Calculus, calculi, calculous›salivary(duct) (gland)
- Calculus, calculi, calculous›Stensen's duct
- Calculus, calculi, calculous›sublingual duct or gland
- Calculus, calculi, calculous›submandibular duct, gland or region
- Calculus, calculi, calculous›submaxillary duct, gland or region
- Calculus, calculi, calculous›Wharton's duct
- Concretion›salivary gland(any)
- Stone›salivary gland or duct(any)
Code history
Unchanged in every release from FY2024 to FY2027.