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K13.1

Billable

Cheek and lip biting

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

What This Code Means

Injury to the cheek or lip caused by accidental biting, often resulting in ulcers or wounds inside the mouth.

Coding Tips

  • Document whether this is a habit, accidental injury, or related to neurological conditions
  • Consider if this is associated with seizures, developmental disorders, or other underlying conditions

Code Hierarchy

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