2025 ICD-10-CM code R68.2
(Active) Effective Date: N/A Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified - General symptoms and signs R Feed
Dry mouth, unspecified.
Medical necessity is established by the clinician's judgment that the evaluation of dry mouth is necessary for the patient's overall health and well-being.The documentation should support the need for diagnostic testing or further evaluation by specialists, if applicable.
Clinicians should investigate potential underlying causes for the dry mouth symptom and provide appropriate management or referral to specialists if necessary.
In simple words: This code represents a dry mouth condition that is not related to dehydration or Sjögren's syndrome, and where the specific cause is not known.
Dry mouth, unspecified. Excludes1: dry mouth due to dehydration (E86.0) and dry mouth due to Sjögren syndrome (M35.0-). Excludes2: salivary gland hyposecretion (K11.7).
Example 1: A patient presents with a complaint of dry mouth, but after examination and investigation, no specific cause can be identified. The clinician would use R68.2., A patient experiences dry mouth following a viral infection. The symptom is transient and resolves without specific treatment. In this case, R68.2 could be used to document the symptom., A patient reports dry mouth during an initial consultation. Further investigations are planned, but the patient does not return for follow-up. The provisional diagnosis of R68.2 can be used.
Documentation should include a description of the dry mouth symptom, including onset, duration, and any associated symptoms.Details of any investigations performed and their results should also be recorded. If the dry mouth is attributed to medication use, it should be noted.
** ICD-9-CM code 527.7 may be a relevant previous version for cross-referencing. HCPCS codes for potential treatments or related procedures for dry mouth include A9155 (artificial saliva), E0755 (electronic salivary reflex stimulator), and potentially others depending on the specific treatment approach.
- Specialties:General practice, internal medicine, otolaryngology, dentistry, oncology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, etc.