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K12.1

Billable

Other forms of stomatitis

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

What This Code Means

Inflammation of the mouth tissues that is not classified as aphthae, cellulitis, or mucositis, including conditions like gingivitis or general mouth inflammation.

Coding Tips

  • Use this code when stomatitis doesn't fit other specific K12 subcategories
  • Document the underlying cause if identifiable (viral, fungal, or irritant-related)

Excludes 1 — Do NOT code together

  • acute necrotizing ulcerative stomatitis (A69.1)
  • Vincent's stomatitis (A69.1)

Code Hierarchy

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