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K12.0

Billable

Recurrent oral aphthae

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Recurrent painful sores that develop inside the mouth, typically small ulcers that come back repeatedly.

Coding Tips

  • •Document the frequency and location of aphthae to support medical necessity
  • •Distinguish from other oral ulcerations by confirming the recurrent nature of the condition

Code Hierarchy

└K12Stomatitis and related lesions└K12.0Recurrent oral aphthae
└K12.0Recurrent oral aphthae

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