K12.39

K12.39: Other oral mucositis (ulcerative)

Billable / specific codeICD-10-CM

K12.39 is a billable, specific ICD-10-CM code for other oral mucositis (ulcerative). It is valid for submission on a claim.

Check K12.39 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Viral oral mucositis (ulcerative)

Excludes1 inherited from the categories above K12.39

A category’s note binds every code beneath it.

Written on K12: Stomatitis and related lesions

cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)

Excludes2 inherited from the categories above K12.39

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

Written on K12.3: Oral mucositis (ulcerative)

gastrointestinal mucositis (ulcerative) (K92.81)
mucositis (ulcerative) of vagina and vulva (N76.81)
nasal mucositis (ulcerative) (J34.81)

Risk adjustment

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

Medicare coverage

K12.39 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