K92.81

K92.81: Gastrointestinal mucositis (ulcerative)

Billable / specific codeICD-10-CM

K92.81 is a billable, specific ICD-10-CM code for gastrointestinal mucositis (ulcerative). It is valid for submission on a claim.

Check K92.81 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.

mucositis (ulcerative) of vagina and vulva (N76.81)
nasal mucositis (ulcerative) (J34.81)
oral mucositis (ulcerative) (K12.3-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

type of associated therapy, such as:
antineoplastic and immunosuppressive drugs (T45.1X-)
radiological procedure and radiotherapy (Y84.2)

Excludes1 inherited from the categories above K92.81

A category’s note binds every code beneath it.

Written on K92: Other diseases of digestive system

neonatal gastrointestinal hemorrhage (P54.0-P54.3)

Risk adjustment

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

Medicare coverage

K92.81 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)

Alphabetic index entries that lead here

Mucositis›gastrointestinal

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K92.8

K92.89Other specified diseases of the digestive system