ICD Code K12.1

ICD code K12.1 is other forms of stomatitis, which refers to inflammation of the mouth that does not fit into more specific categories, and can include various types of mouth sores or irritation.

1. Presence of inflammation in the oral mucosa not attributable to common forms such as aphthous ulcers or herpetic stomatitis

2. Clinical findings of erythema, swelling, or ulceration in the mouth

3. Symptoms may include oral pain, burning sensation, or discomfort

4. Exclusion of specific infectious, traumatic, or autoimmune causes

5. Chronic or recurrent oral lesions without a definitive etiology

6. Associated findings may include bleeding, difficulty eating, or halitosis

Relevant CPT codes that may be used to treat ICD code K12.1 include:

- 41899 (Unlisted procedure, dentoalveolar structures)

- 40808 (Biopsy, vestibule of mouth)

- 40814 (Excision of lesion, vestibule of mouth)

- 40816 (Excision of lesion, vestibule of mouth, complicated)

- 41800 (Drainage of abscess, intraoral, soft tissue)

- 41870 (Periodontal mucosal grafting)

- 99201–99215 (Evaluation and management services, depending on new or established patient and complexity)

- 41820 (Drainage of abscess, intraoral, alveolar process)

CPT code selection should be based on the specific treatment rendered for K12.1.

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