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K12.2

Billable

Cellulitis and abscess of mouth

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

What This Code Means

A serious bacterial infection of the mouth tissues that causes swelling, pus collection, and abscess formation.

Coding Tips

  • •This is a potentially serious condition; ensure documentation supports the severity and location
  • •Consider coding the causative organism if identified (secondary code)

Excludes 2 — Not included here, may code separately

  • abscess of salivary gland (K11.3)
  • abscess of tongue (K14.0)
  • periapical abscess (K04.6-K04.7)
  • periodontal abscess (K05.21)
  • peritonsillar abscess (J36)

Code Hierarchy

└K12Stomatitis and related lesions└K12.2Cellulitis and abscess of mouth
└K12.2Cellulitis and abscess of mouth

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