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ICD-10 Guide
ICD-10 CodesK11.2

K11.2

Non-billable

Sialoadenitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K11.2 is a used to indicate a diagnosis of sialoadenitis.

Key Diagnostic Point:

Sialoadenitis, classified under ICD-10 code K11.2, refers to the inflammation of the salivary glands, which can be acute or chronic. Clinically, patients may present with swelling, pain, and tenderness in the affected gland, often accompanied by dry mouth (xerostomia) and difficulty swallowing. The condition can affect any of the major salivary glands, including the parotid, submandibular, and sublingual glands. The disease progression may vary; acute sialoadenitis often results from bacterial infections, while chronic forms may arise from recurrent infections, autoimmune disorders, or duct obstruction due to stones or strictures. Diagnostic considerations include physical examination, imaging studies (such as ultrasound or MRI), and laboratory tests to identify infectious agents or underlying conditions. Timely diagnosis and treatment are crucial to prevent complications such as abscess formation or systemic infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Dentistry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Sialoadenitis can significantly impact patient quality of life due to pain and difficulty in eating and speaking. Its prevalence varies, with higher rates observed in older adults and individuals with dehydration or systemic diseases. Understanding the epidemiology of sialoadenitis is crucial for healthcare providers to implement preventive measures and manage complications effectively, ultimately improving population health outcomes.

ICD-9 vs ICD-10

Sialoadenitis can significantly impact patient quality of life due to pain and difficulty in eating and speaking. Its prevalence varies, with higher rates observed in older adults and individuals with dehydration or systemic diseases. Understanding the epidemiology of sialoadenitis is crucial for healthcare providers to implement preventive measures and manage complications effectively, ultimately improving population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the condition and the necessity of imaging or surgical interventions. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include thorough documentation of symptoms, treatment plans, and follow-up care to support claims and reduce audit risks.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K11.2?

K11.2 covers conditions such as acute bacterial sialoadenitis, chronic sialoadenitis, and sialadenitis due to viral infections or autoimmune diseases. It is important to differentiate these from other salivary gland disorders.

When should K11.2 be used instead of related codes?

K11.2 should be used when the primary diagnosis is inflammation of the salivary glands without obstruction. If there is a presence of stones or other obstructive conditions, K11.0 may be more appropriate.

What documentation supports K11.2?

Documentation should include clinical findings such as symptoms, physical examination results, imaging studies, and any laboratory tests performed to confirm the diagnosis of sialoadenitis.