K12
Non-Billable

Stomatitis and related lesions

Non-Billable / Non-Specific Code

What is Stomatitis and related lesions?

ICD-10-CM K12 is the diagnosis code for Stomatitis and related lesions. This code falls under the section "Diseases of oral cavity and salivary glands" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for K12

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as K12. They are mutually exclusive:

  • cancrum oris (A69.0)
  • cheilitis (K13.0)
  • gangrenous stomatitis (A69.0)
  • herpesviral [herpes simplex] gingivostomatitis (B00.2)
  • noma (A69.0)

ICD-10-CM Code Hierarchy

Understanding where K12 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeK12 — Stomatitis and related lesions
Sub-Codes 4 entries
K12.0Recurrent oral aphthaeBillableK12.1Other forms of stomatitisBillableK12.2Cellulitis and abscess of mouthBillableK12.3Oral mucositis (ulcerative)Non-BillableK12.30Oral mucositis (ulcerative), unspecifiedBillableK12.31Oral mucositis (ulcerative) due to antineoplastic therapyBillableK12.32Oral mucositis (ulcerative) due to other drugsBillableK12.33Oral mucositis (ulcerative) due to radiationBillableK12.39Other oral mucositis (ulcerative)Billable
Related Codes

Frequently Asked Questions

Is K12 a billable ICD-10-CM code?

No, K12 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does K12 mean?

K12 is the ICD-10-CM diagnosis code for "Stomatitis and related lesions". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is K12 in?

K12 is located in Section K00-K14 — "Diseases of oral cavity and salivary glands" within Chapter 11 of the ICD-10-CM Tabular List.

What are the sub-codes of K12?

K12 has 4 sub-code(s) that provide more specific detail: K12.0, K12.1, K12.2, K12.3.

When should I use K12?

Use K12 when the patients documented diagnosis matches "Stomatitis and related lesions" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Stomatitis and related lesions?

The ICD-10-CM code for Stomatitis and related lesions is K12.

Can K12 be used for primary diagnosis?

No, K12 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is K12 in?

K12 is in Chapter 11 of the ICD-10-CM Tabular List.

What conditions are excluded from K12?

Type 1 Excludes for K12 include: cancrum oris (A69.0); cheilitis (K13.0); gangrenous stomatitis (A69.0) and more.

Is K12 valid for 2026?

Yes, K12 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK11.9Disease of salivary gland, unspecifiedNext →K12.0Recurrent oral aphthae
Code Details
K12
Stomatitis and related lesions
Non-Billable / Non-Specific Code
11 — Diseases of the digestive system (K00-K95)
K00-K14 — Diseases of oral cavity and salivary glands
2026 ICD-10-CM