K13.4

K13.4: Granuloma and granuloma-like lesions of oral mucosa

Billable / specific codeICD-10-CM

K13.4 is a billable, specific ICD-10-CM code for granuloma and granuloma-like lesions of oral mucosa. It is valid for submission on a claim.

Check K13.4 with the rest of the claim: free scrubber

Inclusion terms

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

Eosinophilic granuloma
Granuloma pyogenicum
Verrucous xanthoma

Excludes2 inherited from the categories above K13.4

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

Written on K13: Other diseases of lip and oral mucosa

certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)

Risk adjustment

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

Medicare coverage

K13.4 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

Granuloma›oral mucosa
Xanthoma›verrucous, oral mucosa
Granuloma›eosinophilic›oral mucosa
Granuloma›pyogenic, pyogenicum›oral mucosa

Code history

Unchanged in every release from FY2024 to FY2027.