ICD-10 codes from mucositisMucositis is the painful inflammation and ulceration of the mucous membranes lining the digestive tract, usually as an adverse effect of chemotherapy and radiotherapy treatment for cancer.
Diagnosis coding options:
K12.0 - Recurrent oral aphthae
K12.1 - Other forms of stomatitis
K12.31 - Oral mucositis (ulcerative) due to antineoplastic therapy
K12.32 - Oral mucositis (ulcerative) due to other drugs
K12.33 - Oral mucositis (ulcerative) due to radiation
K12.39 - Other oral mucositis (ulcerative)
T45.1X5 - Adverse effect, if applicable, to identify antineoplastic and immunosuppressive drugs
S8948 - Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes.
41820 - Destruction of lesion, vestibule of mouth by physical methods
41850 - Destruction of lesion; dentoalveolar structures
42160 - Destruction of lesion, palate or uvula
Sample medical coverage policy from BCBS Florida titled "Infrared Energy Therapy and Low Level Laser Therapy which states “Low-level laser therapy meets the definition of medical necessity for prevention of oral mucositis in members undergoing cancer treatment associated with increased risk of oral mucositis, including chemotherapy and/or radiotherapy, and/or hematopoietic stem cell transplantation.”