ICD-10 Coding for Burning Mouth Syndrome(K14.6)
Complete ICD-10-CM coding and documentation guide for Burning Mouth Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Burning Mouth Syndrome
Key Information: ICD-10 code for burning mouth syndrome
Essential facts and insights about Burning Mouth Syndrome
Primary ICD-10-CM Code for burning mouth syndrome
Decision Criteria
clinical Criteria
- Chronic burning sensation in the mouth for more than 3 months.
documentation Criteria
- Normal oral mucosa and exclusion of other causes documented.
Applicable To
- Burning mouth syndrome
- Glossopyrosis
- Oral burning pain
Clinical Validation Requirements
- Chronic intraoral burning for more than 3 months
- Normal oral mucosa
- Exclusion of local/systemic causes
Code-Specific Risks
- Incorrectly coding when an underlying condition is present
- Lack of documentation for exclusion of other causes
Coding Notes
- Ensure thorough documentation of symptom duration and exclusion of other causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Burning Mouth Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K14.6.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure documentation includes symptom duration and exclusion of other causes.
Impact
Reimbursement: May lead to claim denials if not coded correctly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code the underlying condition first, then use K14.6 if applicable.
Impact
Failure to document exclusion of other causes can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation of tests and evaluations performed.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Burning Mouth Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Burning Mouth Syndrome
Use these documentation templates to ensure complete and accurate documentation for Burning Mouth Syndrome. These templates include all required elements for proper coding and billing.
Chronic burning mouth without lesions
Specialty: Oral MedicineRequired Elements
- Location and duration of pain
- Quality and intensity of burning
- Associated symptoms
- Exclusion of other conditions
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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