K13.5
K13.5: Oral submucous fibrosis
Billable / specific codeICD-10-CM
K13.5 is a billable, specific ICD-10-CM code for oral submucous fibrosis. It is valid for submission on a claim.
Check K13.5 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Submucous fibrosis of tongue
Excludes2 inherited from the categories above K13.5
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K13.5 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57482Billing and Coding: Removal of Benign Skin Lesions
Alphabetic index entries that lead here
- Fibrosis, fibrotic›submucous(oral) (tongue)
- Fibrosis, fibrotic›tongue, submucous
Code history
Unchanged in every release from FY2024 to FY2027.