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2025 ICD-10-CM code K13.5

Oral submucous fibrosis.A chronic condition characterized by inflammation and progressive fibrosis of the submucosal tissues of the oral cavity.

Code K13.5 should be used when the primary diagnosis is oral submucous fibrosis.Any underlying causes or contributing factors, like betel quid chewing or areca nut use, should be coded separately using additional codes.

Medical necessity for services related to K13.5 is established by the presence of signs and symptoms of oral submucous fibrosis that impact the patient's ability to function normally.This includes difficulty eating, speaking, swallowing, or maintaining oral hygiene.The documentation should clearly demonstrate the severity of the condition and justify the need for the specific interventions or treatments being provided.

Diagnosis and management of oral submucous fibrosis typically falls under the purview of oral and maxillofacial surgeons, otolaryngologists (ENT specialists), and dentists with specialized training in oral medicine.They are responsible for evaluating the patient's symptoms, conducting a thorough oral examination, and potentially performing a biopsy to confirm the diagnosis.Treatment options and management strategies are determined based on the severity of the condition and may include medications, physical therapy, and in some cases, surgery.

In simple words: Oral submucous fibrosis is a long-term condition where the inside lining of your mouth becomes scarred and stiff, making it hard to open your mouth wide, eat, and talk.

Oral submucous fibrosis is a chronic, progressive condition characterized by inflammation and fibrosis of the submucosal tissues (the tissues beneath the mucous membrane) within the oral cavity. This fibrosis leads to stiffness and reduced mobility of the oral tissues, making it difficult to open the mouth, eat, speak, and swallow.The tongue can also be affected, leading to restricted movement and difficulty in speech and swallowing.

Example 1: A 45-year-old patient presents with a gradual inability to open their mouth fully and experiences pain and burning sensations when consuming spicy foods.Upon examination, the oral mucosa appears blanched and fibrotic. The physician diagnoses oral submucous fibrosis (K13.5)., A patient with a history of chewing betel quid (paan) is evaluated for difficulty swallowing and speaking.Clinical findings reveal restricted tongue movement and palpable fibrous bands in the oral cavity, leading to a diagnosis of oral submucous fibrosis (K13.5)., During a routine dental check-up, a patient exhibits signs of trismus (limited jaw opening) and a pale, rigid oral mucosa. Further investigation confirms the diagnosis of oral submucous fibrosis (K13.5).

Documentation for K13.5 should include a detailed description of the clinical findings, including the extent of fibrosis, limitations in mouth opening (trismus), and any associated symptoms like pain, burning, or difficulty eating or speaking.If a biopsy is performed, the pathology report should be included.Any history of risk factors, such as betel quid chewing or areca nut use, should also be documented.

** It is important to differentiate oral submucous fibrosis (K13.5) from other oral lesions or conditions. A thorough clinical examination and, in some cases, a biopsy may be necessary to confirm the diagnosis.Refer to iFrameAI for most recent update and complete information about ICD-10 codes.

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