2025 ICD-10-CM code K12.2
Cellulitis and abscess of mouth.
Medical necessity is established by the presence of signs and symptoms of infection, such as pain, swelling, redness, and/or purulent drainage. Treatment is necessary to prevent the spread of infection and potential complications.
Cellulitis and abscess of mouth. Includes: Cellulitis of mouth (floor), Submandibular abscess. Excludes2: abscess of salivary gland (K11.3), abscess of tongue (K14.0), periapical abscess (K04.6-K04.7), periodontal abscess (K05.21), peritonsillar abscess (J36)
Example 1: A patient presents with swelling and redness on the floor of their mouth, along with pain and difficulty swallowing.Diagnosis: Cellulitis of floor of mouth (K12.2)., A patient has a painful, fluctuant swelling beneath their jaw.Diagnosis: Submandibular abscess (K12.2)., A patient with a history of poor oral hygiene experiences fever, chills, and a swollen, tender area inside their mouth. Diagnosis: Cellulitis and abscess of mouth (K12.2).
Documentation should include physical exam findings (e.g., swelling, redness, tenderness, fluctuance), location of the cellulitis/abscess, and associated symptoms. If imaging studies (e.g., CT scan) are performed, the results should be documented.Any procedures performed, such as incision and drainage, should also be noted.
- Specialties:Oral surgery, Dentistry, Otolaryngology, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital