Leukoplakia of oral mucosa, including tongue 1 K13.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM K13.21 became effective on October 1, 2019. 3 This is the American ICD-10-CM version of K13.21 - other international versions of ICD-10 K13.21 may differ.
Short description: Leukoplakia and oth disturb of oral epithelium, inc tongue The 2020 edition of ICD-10-CM K13.2 became effective on October 1, 2019. This is the American ICD-10-CM version of K13.2 - other international versions of ICD-10 K13.2 may differ.
Leukoplakia of cervix uteri. N88.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM N88.0 became effective on October 1, 2019.
Leukoplakia is a condition in which one or more white patches or spots (lesions) forms inside the mouth. Leukoplakia is different from other causes of white patches such as thrush or lichen planus because it can eventually develop into oral cancer.
Differential Diagnosis & Pitfalls Oral hairy leukoplakia is most frequently seen in HIV and AIDS patients, and Epstein Barr virus is present in the biopsy. Lichen planus is usually bilateral, symmetric, and reticulated. Candidiasis resolves with anti-fungal therapy.
There are two main types: homogenous and non-homogenous leukoplakia. Homogenous leukoplakia consists of uniformly white plaques which have a lower likelihood for turning into cancer. Non-homogenous leukoplakias, which resemble mixed red and white non-uniform patches, have a greater likelihood of turning into cancer.
General Considerations. Leukoplakia is a clinical term signifying a white, plaque-like lesion occurring anywhere on the oral mucosa. It is generally a reaction to irritation, such as cigarette smoking or tobacco or areca (betel) nut chewing, as well as an early sign of human immunodeficiency virus (HIV) infection.
Excisional biopsy. This involves surgically removing tissue from the leukoplakia patch or removing the entire patch if it's small. An excision biopsy is more comprehensive and usually results in a definitive diagnosis.
Oral hairy leukoplakia patches are easy to identify. Healthcare providers can often diagnose it from a physical exam alone. Oral candidiasis, or thrush, can be similar in appearance. However, your healthcare provider can often remove thrush growths on the tongue.
leu·ko·pla·ki·a [New Latin : leuko- + Greek plax, plak-, flat area; see plāk- in Indo-European roots.]
(1) Leukoplakia and erythroplakia are two clinical lesions widely considered to be premalignant. However, using clinical features to classify lesions is difficult because they vary in appearance and are likely to be interpreted subjectively by the clinician.
Oral leukoplakia is one of the most common potentially malignant disorders.
In most cases, leukoplakia will go away on its own and doesn't require treatment. Just make sure to avoid any triggers, such as smoking. If the biopsy came positive for oral cancer, then the doctors will remove the patches immediately to stop the cancer from spreading.
LeukoplakiaCausesUnknownRisk factorsSmoking, chewing tobacco, excessive alcohol, betel nutsDiagnostic methodMade after other possible causes ruled out, tissue biopsyDifferential diagnosisYeast infection, lichen planus, keratosis due to repeated minor trauma9 more rows
White patches are the main symptom of oral hairy leukoplakia. The patches are: White and folded in appearance. Hairy, hair-like growths come from the folds in the patches.
Leukoplakia and other disturbances of oral epithelium, including tongue 1 carcinoma in situ of oral epithelium (#N#ICD-10-CM Diagnosis Code D00.0#N#Carcinoma in situ of lip, oral cavity and pharynx#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#carcinoma in situ of aryepiglottic fold or interarytenoid fold, laryngeal aspect ( D02.0)#N#carcinoma in situ of epiglottis NOS ( D02.0)#N#carcinoma in situ of epiglottis suprahyoid portion ( D02.0)#N#carcinoma in situ of skin of lip ( D03.0, D04.0)#N#Use Additional#N#code to identify:#N#exposure to environmental tobacco smoke ( Z77.22)#N#exposure to tobacco smoke in the perinatal period ( P96.81)#N#history of tobacco dependence ( Z87.891)#N#occupational exposure to environmental tobacco smoke ( Z57.31)#N#tobacco dependence ( F17.-)#N#tobacco use ( Z72.0)#N#D00.0-) 2 hairy leukoplakia (#N#ICD-10-CM Diagnosis Code K13.3#N#Hairy leukoplakia#N#2016 2017 2018 2019 2020 2021 Billable/Specific Code#N#K13.3)
Leukoplakia and other disturbances of oral epithelium, including tongue. K13.2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Leukoplakia and oth disturb of oral epithelium, inc tongue.
Leukoplakia (also termed leucoplakia, leukokeratosis, leukoplasia, idiopathic leukoplakia, idiopathic keratosis, or idiopathic white patch), normally refers to a condition where areas of keratosis appear as firmly attached white patches on the mucous membranes of the oral cavity, although the term is sometimes used for white patches of other gastrointestinal tract mucosal sites, or mucosal surfaces of the urinary tract and genitals.
Use a child code to capture more detail. ICD Code K13.2 is a non-billable code.