icd 10 code for sialolith

What is the ICD 10 code for sialolithiasis?

2018/2019 ICD-10-CM Diagnosis Code K11.5. Sialolithiasis. K11.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM K11.5 became effective on October 1, 2018.

What is the ICD 10 code for acute sialoadenitis?

Acute sialoadenitis. K11.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM K11.21 became effective on October 1, 2018.

What is the a'billable'code for sialolithiasis?

A 'billable code' is detailed enough to be used to specify a medical diagnosis. Sialolithiasis (also termed salivary calculi, or salivary stones), is a condition where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also termed "Wharton's duct").

What is the ICD 10 code for salivary gland obstruction?

Diagnosis Index entries containing back-references to K11.5: Calculus, calculi, calculous sublingual duct or gland K11.5. parotid duct or gland K11.5 Concretion - see also Calculus salivary gland K11.5 (any) Obstruction, obstructed, obstructive salivary duct (any) K11.8 ICD-10-CM Diagnosis Code K11.8.

What is a sialolith salivary stone?

Salivary stones, also called sialolithiasis, are hardened mineral deposits that form in the salivary glands. The condition is more likely to affect people age 30 to 60 and men are more likely to get salivary stones than women.

Where is the sialolith located?

Salivary stones or sialoliths are calcified concrements in the salivary glands, most frequently located in Wharton's duct of the submandibular gland.

What is submandibular sialolith?

Sialolithiasis is the formation of calcific concretions within the parenchyma or ductal system of the major or minor salivary glands, but it most commonly affects the submandibular salivary gland. Sialolithiasis usually occurs in adults aged 30 to 60 years and causes pathognomonic pain during meals.

Where is the submandibular?

About the size of a walnut, the submandibular glands are located below the jaw. The saliva produced in these glands is secreted into the mouth from under the tongue. Like the parotid glands, the submandibular glands have two parts called the superficial lobe and the deep lobe.

What is the gold standard test for the diagnosis of Sialolith?

Our results indicate that ultrasound examination should be regarded as a key examination and as the method of first choice for diagnosing sialolithiasis of the major salivary glands.

How do you pronounce Sialolith?

0:371:02How To Say Sialolith - YouTubeYouTubeStart of suggested clipEnd of suggested clipSellado por el lunes sellado por el lunes.MoreSellado por el lunes sellado por el lunes.

How is Sialolith treated?

The classic treatment of sialolithiasis is antibiotics and anti-inflammatory agents, hoping for a spontaneous stone expression through the papilla. In cases of submandibular stones located close to Wharton papillae, a marsupialization (sialodochoplasty) is performed and the stone removed.

What are the most common sites and most common clinical features of Sialolith?

More than 80% of sialoliths occur in the submandibular gland or its duct, 6% in the parotid gland, and 2% in the sublingual gland or minor salivary glands. Typical symptoms are recurrent swelling and pain in the involved gland, often associated with eating, due to obstructions of the draining duct.

What is the link between smoking and the development of Sialolith?

In particular, longer periods of smoking were significantly related to sialolithiasis. Similar to our findings, a history of smoking has been reported to be a predisposing factor for sialolithiasis in the general population (adjusted OR = 1.21, 95% CI = 1.02–1.44, P = 0.028) [28].

Where is the submandibular gland and duct?

The submandibular glands are found on both sides, just under and deep to the jaw, towards the back of the mouth. This gland produces roughly 70% of the saliva in our mouth. The submandibular duct, called Warhtin's duct, enter the floor of the mouth under the the front of the tongue.

What neck levels is the submandibular gland?

Level I: submental and submandibular level Ib (submandibular nodes): posterolateral to the anterior belly of the digastric muscles.

What is submandibular duct?

The submandibular duct or Wharton duct or submaxillary duct, is one of the salivary excretory ducts. It is about 5 cm. long, and its wall is much thinner than that of the parotid duct. It drains saliva from each bilateral submandibular gland and sublingual gland to the sublingual caruncle at the base of the tongue.

What is the ICD code for sialolithiasis?

K11.5 is a billable ICD code used to specify a diagnosis of sialolithiasis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Where is the sialolith located?

Sialolithiasis (also termed salivary calculi, or salivary stones), is a condition where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also termed "Wharton's duct").

What is the ICd 10 code for Sialolithiasis?

K11.5 is a valid billable ICD-10 diagnosis code for Sialolithiasis . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

What is the ICD-10 code for salivary gland?

Stone of salivary gland or duct. The use of ICD-10 code K11.5 can also apply to: Ptyalolithiasis. Sialodocholithiasis. Sialolithiasis.

Do you include decimal points in ICD-10?

DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: Calculus, calculi, calculous.

Policy

Aetna considers sialendoscopy (diagnostic or therapeutic) medically necessary for the management of chronic sialadenitis and sialolithiasis.

Background

Sialolithiasis refers to non-cancerous stones (calcium-rich crystallized minerals known as salivary calculi or sialoliths) in a salivary gland or duct. Most salivary stones are single; however multiple stones may be present. There are three pairs of major salivary glands:

The above policy is based on the following references

Ardekian L, Klein HH, Araydy S, Marchal F. The use of sialendoscopy for the treatment of multiple salivary gland stones. J Oral Maxillofac Surg. 2014;72 (1):89-95.

What are salivary stones?

Salivary stones, also called sialoliths, are calcified organic masses that form within the salivary gland’s secretory system. Salivary stones comprise of organic and inorganic materials, including calcium carbonates and phosphates, cellular debris, glycoproteins, and mucopolysaccharides [1].

Etiological Factors for Salivary Stone Formation

The following are some of the etiological factors for salivary stone formation [2]:

Which salivary gland is more susceptible to stone formation and why?

Salivary stones occur most commonly in the submandibular glands (80%–90%), followed by the parotid (5%–15%) and sublingual (2%–5%) glands, and only very rarely occur in the minor salivary glands.

What are the salivary stones symptoms?

In general, the degree of symptoms depends on the extent of salivary duct obstruction and if there is a secondary infection. Patients with salivary stones most commonly present with:

Clinical Steps to Diagnose Salivary Stones

The first step is bimanual palpation directed in a posterior to anterior fashion along the course of the involved duct, and it may be possible to detect a stone.

How are salivary stones treated?

Treatment starts with managing the acute phase using analgesics, hydration, and antipyretics, as necessary. If the stone is noticed near the duct’s orifice and it has a small size, sialogogues such as sugarless lemon troches, massage, and heat applied to the affected area may also be beneficial to eject the stone outside.

Step-by-Step Procedure for Removing a Sialolith from the Submandibular Gland

Figure 2. Image courtesy of Dr. Al-Eryani, Orofacial Pain and Oral Medicine Center, Herman Ostrow School of Dentistry of USC