2025 ICD-10-CM code K12.1
Other forms of stomatitis. This includes stomatitis NOS, denture stomatitis, ulcerative stomatitis, and vesicular stomatitis.
Medical necessity for treatment is established by the presence of signs and symptoms of stomatitis, impacting the patient's oral health and potentially their overall well-being.
Diagnosis and management of other forms of stomatitis often fall under the purview of dentists, oral surgeons, or general practitioners.Clinical responsibilities include identifying the underlying cause, providing symptomatic relief, and educating patients on proper oral hygiene.
In simple words: This code refers to various types of mouth sores or inflammation not caused by a specific infection or other known medical condition. It can include sores from dentures, general mouth ulcers, or blisters.
Other forms of stomatitis includes various inflammatory conditions of the mouth's mucous membranes not otherwise specified. Examples include:* Stomatitis NOS (not otherwise specified)* Denture stomatitis* Ulcerative stomatitis* Vesicular stomatitisExcludes1: * Acute necrotizing ulcerative stomatitis (A69.1)* Vincent's stomatitis (A69.1)Excludes2:* Certain conditions originating in the perinatal period (P04-P96)* Certain infectious and parasitic diseases (A00-B99)* Complications of pregnancy, childbirth, and the puerperium (O00-O9A)* Congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)* Endocrine, nutritional, and metabolic diseases (E00-E88)* Injury, poisoning, and certain other consequences of external causes (S00-T88)* Neoplasms (C00-D49)* Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Example 1: A patient presents with painful ulcers under their dentures.Examination reveals redness and inflammation consistent with denture stomatitis. K12.1 is used for the diagnosis., A patient with a history of recurrent aphthous stomatitis (canker sores)presents with new ulcers. As this is not the first occurrence, K12.0 (Recurrent oral aphthae) would not be appropriate, so K12.1 is used., A patient develops painful mouth sores after starting a new medication. The sores are diagnosed as a non-specific drug-induced stomatitis, and K12.1 is used.
Documentation should describe the location, size, and appearance of the lesions. The presence of any associated symptoms (pain, bleeding, difficulty eating) should also be noted. Any suspected underlying causes or contributing factors (e.g., ill-fitting dentures, recent medication changes, trauma) should be documented.
- Specialties:Dentistry, Oral Surgery, General Practice, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital