K13.6

K13.6: Irritative hyperplasia of oral mucosa

Billable / specific codeICD-10-CM

K13.6 is a billable, specific ICD-10-CM code for irritative hyperplasia of oral mucosa. It is valid for submission on a claim.

Check K13.6 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)

Excludes2 inherited from the categories above K13.6

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

K13.6 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

Hyperplasia, hyperplastic›oral mucosa(irritative)
Hyperplasia, hyperplastic›palate, papillary(irritative)

Code history

Unchanged in every release from FY2024 to FY2027.