2020 ICD-10-CM Diagnosis Code A69.0

Necrotizing ulcerative stomatitis

    2016 2017 2018 2019 2020 Billable/Specific Code
  • A69.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM A69.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of A69.0 - other international versions of ICD-10 A69.0 may differ.
Applicable To
  • Cancrum oris
  • Fusospirochetal gangrene
  • Noma
  • Stomatitis gangrenosa
The following code(s) above A69.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to A69.0:
  • A00-B99
    2020 ICD-10-CM Range A00-B99

    Certain infectious and parasitic diseases

    Includes
    • diseases generally recognized as communicable or transmissible
    Type 1 Excludes
    • certain localized infections - see body system-related chapters
    Type 2 Excludes
    • carrier or suspected carrier of infectious disease (Z22.-)
    • infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
    • infectious and parasitic diseases specific to the perinatal period (P35-P39)
    • influenza and other acute respiratory infections (J00-J22)
    Use Additional
    • code to identify resistance to antimicrobial drugs (Z16.-)
    Certain infectious and parasitic diseases
  • A65-A69
    2020 ICD-10-CM Range A65-A69

    Other spirochetal diseases

    Type 2 Excludes
    Other spirochetal diseases
Approximate Synonyms
  • Cancrum oris
Clinical Information
  • A severe gangrenous process occurring predominantly in debilitated and malnourished children, especially in underdeveloped countries. It typically begins as a small vesicle or ulcer on the gingiva that rapidly becomes necrotic and spreads to produce extensive destruction of the buccal and labial mucosa and tissues of the face, which may result in severe disfigurement and even death. Various bacteria have been implicated in the etiology. (Dorland, 27th ed)
  • Gangrene of the mucous membranes of the mouth leading to ulcers and destruction of the soft tissues of the face and bones. It usually occurs in malnourished children in areas of poor sanitation and immunocompromised patients.
ICD-10-CM A69.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 157 Dental and oral diseases with mcc
  • 158 Dental and oral diseases with cc
  • 159 Dental and oral diseases without cc/mcc

Convert A69.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to A69.0:
  • Type 1 Excludes: K12
    , K12
    , K12
    ICD-10-CM Diagnosis Code K12

    Stomatitis and related lesions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cancrum oris (A69.0)
    • cheilitis (K13.0)
    • gangrenous stomatitis (A69.0)
    • herpesviral [herpes simplex] gingivostomatitis (B00.2)
    • noma (A69.0)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K12

    Stomatitis and related lesions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cancrum oris (A69.0)
    • cheilitis (K13.0)
    • gangrenous stomatitis (A69.0)
    • herpesviral [herpes simplex] gingivostomatitis (B00.2)
    • noma (A69.0)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code K12

    Stomatitis and related lesions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cancrum oris (A69.0)
    • cheilitis (K13.0)
    • gangrenous stomatitis (A69.0)
    • herpesviral [herpes simplex] gingivostomatitis (B00.2)
    • noma (A69.0)
    Use Additional
    • code to identify:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Diagnosis Index entries containing back-references to A69.0:
  • Cancrum oris A69.0
  • Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) I96
    - see also Necrosis
    ICD-10-CM Diagnosis Code I96

    Gangrene, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Gangrenous cellulitis
    Type 1 Excludes
    Type 2 Excludes
    • gangrene in diabetes mellitus (E08-E13 with .52)
    • fusospirochetal A69.0
    • mouth A69.0
    • stomatitis A69.0
  • Necrosis, necrotic (ischemic) - see also Gangrene
    • stomatitis A69.0 (ulcerative)
  • Noma (gangrenous) (hospital) (infective) A69.0
    • mouth A69.0
  • Stomatitis (denture) (ulcerative) K12.1
    ICD-10-CM Diagnosis Code K12.1

    Other forms of stomatitis

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Stomatitis NOS
    • Denture stomatitis
    • Ulcerative stomatitis
    • Vesicular stomatitis
    Type 1 Excludes
    • acute necrotizing ulcerative stomatitis (A69.1)
    • Vincent's stomatitis (A69.1)
    • gangrenous A69.0
    • necrotizing ulcerative A69.0

ICD-10-CM Codes Adjacent To A69.0
A67.0 Primary lesions of pinta
A67.1 Intermediate lesions of pinta
A67.2 Late lesions of pinta
A67.3 Mixed lesions of pinta
A67.9 Pinta, unspecified
A68 Relapsing fevers
A68.0 Louse-borne relapsing fever
A68.1 Tick-borne relapsing fever
A68.9 Relapsing fever, unspecified
A69 Other spirochetal infections
A69.0 Necrotizing ulcerative stomatitis
A69.1 Other Vincent's infections
A69.2 Lyme disease
A69.20 …… unspecified
A69.21 Meningitis due to Lyme disease
A69.22 Other neurologic disorders in Lyme disease
A69.23 Arthritis due to Lyme disease
A69.29 Other conditions associated with Lyme disease
A69.8 Other specified spirochetal infections
A69.9 Spirochetal infection, unspecified
A70 Chlamydia psittaci infections

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.