K13.0
K13.0: Diseases of lips
Billable / specific codeICD-10-CM
K13.0 is a billable, specific ICD-10-CM code for diseases of lips. It is valid for submission on a claim.
Check K13.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Abscess of lips
- Angular cheilitis
- Cellulitis of lips
- Cheilitis NOS
- Cheilodynia
- Cheilosis
- Exfoliative cheilitis
- Fistula of lips
- Glandular cheilitis
- Hypertrophy of lips
- Perlèche NEC
Excludes2 inherited from the categories above K13.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with K13.0
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
K13.0 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Alphabetic index entries that lead here
- Angulus infectiosus(lips)
- Baelz's disease(cheilitis glandularis apostematosa)
- Cheilitis(acute) (angular) (catarrhal) (chronic) (exfoliative) (gangrenous) (glandular) (infectional) (suppurative) (ulcerative) (vesicular)
- Cheilodynia
- Cheilosis(angular)
- Myxadenitis labialis
- Perlèche NEC
- Puente's disease(simple glandular cheilitis)
- Abscess›lip
- Atrophy, atrophic›lip
- Cellulitis›lip
- Cyst›lip(gland)
Code history
Unchanged in every release from FY2024 to FY2027.