1. ICD-10-CM Codes
›
2. K00-K95
›
3. K00-K14
›
4. K12-
›
5. 2023 ICD-10-CM Diagnosis Code K12.1

2023 ICD-10-CM Diagnosis Code K12.1

Other forms of stomatitis

2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

• K12.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2023 edition of ICD-10-CM K12.1 became effective on October 1, 2022.
• This is the American ICD-10-CM version of K12.1 - other international versions of ICD-10 K12.1 may differ.

• Stomatitis
• Stomatitis (inflammation of mouth)

• A disorder characterized by inflammation of the oral mucosal.
• A viral disease caused by at least two distinct species (serotypes) in the vesiculovirus genus: vesicular stomatitis indiana virus and vesicular stomatitis new jersey virus. It is characterized by vesicular eruptions on the oral mucosa in cattle, horses, pigs, and other animals. In humans, vesicular stomatitis causes an acute influenza-like illness.
• Inflammation of the mouth due to denture irritation.
• Inflammation of the mucous tissue of the mouth
• Inflammation of the oral mucosa due to local or systemic factors.
• Inflammation of the soft tissues of the mouth, such as mucosa; palate; gingiva; and lip.
• Inflammation or irritation of the mucous membranes in the mouth.

• 011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
• 012 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
• 013 Tracheostomy for face, mouth and 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 K12.1 to ICD-9-CM

• 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
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Catarrh, catarrhal (acute) (febrile) (infectious) (inflammation) J00
  - see also condition
  ICD-10-CM Diagnosis Code J00

  Acute nasopharyngitis [common cold]

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Applicable To

  • Acute rhinitis
  • Coryza (acute)
  • Infective nasopharyngitis NOS
  • Infective rhinitis
  • Nasal catarrh, acute
  • Nasopharyngitis NOS

  Type 1 Excludes

  • acute pharyngitis (J02.-)
  • acute sore throat NOS (J02.9)
  • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
  • pharyngitis NOS (J02.9)
  • rhinitis NOS (J31.0)
  • sore throat NOS (J02.9)

  Type 2 Excludes

  • allergic rhinitis (J30.1-J30.9)
  • chronic pharyngitis (J31.2)
  • chronic rhinitis (J31.0)
  • chronic sore throat (J31.2)
  • nasopharyngitis, chronic (J31.1)
  • vasomotor rhinitis (J30.0)
  • mouth K12.1
• Inflammation, inflamed, inflammatory (with exudation)
  • mouth K12.1
• Stomatitis (denture) (ulcerative) K12.1
  • vesicular K12.1
  • catarrhal K12.1
  • follicular K12.1
  • malignant K12.1
  • membranous acute K12.1
  • septic K12.1
• Ulcer, ulcerated, ulcerating, ulceration, ulcerative
  • buccal K12.1 (cavity) (traumatic)
  • oral mucosa K12.1 (traumatic)
  • palate K12.1 (soft)
  • stomatitis K12.1

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