K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Oral mucositis (ulcerative) due to antineoplastic therapy is K12.31 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
K00-K14: Diseases of oral cavity and salivary glands (K00-K14)
Category K12
10 codes (8 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to K12.31:

  • Mucositis (ulcerative) › mouth (oral) (oropharyngeal) › due to antineoplastic therapy
Use Additional Code
  • code for adverse effect, if applicable, to identify antineoplastic and immunosuppressive drugs (T45.1X5)
  • code for other antineoplastic therapy, such as:
  • radiological procedure and radiotherapy (Y84.2)

U.S. Hospital Utilization

  • An estimated 11,270 U.S. inpatient stays in 2023 included K12.31 among the documented diagnoses.
  • 1,020 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 11 reserved for future expansion

11. Chapter 11: Diseases of the Digestive System (K00-K95) Reserved for future guideline expansion

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.11

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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