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2025 ICD-10-CM code K14

Diseases of tongue

Use additional codes to identify any associated conditions, such as tobacco use or alcohol abuse. Do not use K14 for conditions specifically excluded, such as leukoplakia or macroglossia. Be sure to code the underlying disease if known.

Medical necessity for the use of code K14 depends on the specific tongue disease diagnosed. The documentation should support the medical necessity of any treatments or procedures related to the tongue condition.

The clinician is responsible for identifying the specific disease of the tongue and documenting it with the appropriate ICD-10-CM code.If there are associated risk factors like tobacco use or alcohol abuse, these should also be documented.The clinician should be aware of excluded conditions and code them separately.

In simple words: This code represents a diagnosis of a disease affecting the tongue.It's important to note that additional codes may be needed to specify the exact type of tongue disease.Some conditions, like leukoplakia and macroglossia, are specifically excluded from this code and have their own separate codes.

Diseases of tongue. Use additional code to identify: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), and tobacco use (Z72.0). Excludes2: erythroplakia (K13.29), focal epithelial hyperplasia (K13.29), leukedema of tongue (K13.29), leukoplakia of tongue (K13.21), hairy leukoplakia (K13.3), macroglossia (congenital) (Q38.2), and submucous fibrosis of tongue (K13.5).

Example 1: A patient presents with glossitis, an inflammation of the tongue. The clinician would use the code K14 to indicate a disease of the tongue, and may use an additional code to specify the type of glossitis., A patient with a history of heavy smoking is diagnosed with tongue cancer.While K14 would be used to document the location (tongue), an additional C code would be required to specify the type and stage of cancer.A code for tobacco dependence or use should also be included., A patient with geographic tongue, a condition causing irregular patches on the tongue, would be coded as K14.No additional codes are necessary for this specific diagnosis.

Documentation should clearly specify the type of tongue disease. Additional documentation might include related diagnoses like alcohol or tobacco use, symptoms, physical exam findings, and any procedures performed.

** This code requires a more specific code to fully describe the condition. Always refer to the latest ICD-10-CM coding guidelines for accurate coding and documentation.

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