Coding and coverage · ICD-10-CM

K13

K13.0 Diseases of lips

BillableNo payment HCCChapter 11

Instructional notes

Chapter 11

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

K13

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
  • cysts of oral region (K09.-)
  • diseases of tongue (K14.-)
  • stomatitis and related lesions (K12.-)
Use additional codeAdd a second code for the full picture.
  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
Includes
  • epithelial disturbances of tongue

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • ariboflavinosis (E53.0)
  • cheilitis due to radiation-related disorders (L55-L59)
  • congenital fistula of lips (Q38.0)
  • congenital hypertrophy of lips (Q18.6)
  • Perlèche due to candidiasis (B37.83)
  • Perlèche due to riboflavin deficiency (E53.0)
Inclusion terms
  • Abscess of lips
  • Angular cheilitis
  • Cellulitis of lips
  • Cheilitis NOS
  • Cheilodynia
  • Cheilosis
  • Exfoliative cheilitis
  • Fistula of lips
  • Glandular cheilitis
  • Hypertrophy of lips
  • Perlèche NEC

Chapter 11: Diseases of the digestive system · K00-K14 Diseases of oral cavity and salivary glands (K00-K14)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.