Dry mouth, unspecified
ICD-10 R68.2 is a billable code used to indicate a diagnosis of dry mouth, unspecified.
Dry mouth, or xerostomia, is a condition characterized by a decrease in saliva production, leading to a dry sensation in the mouth. This symptom can arise from various underlying causes, including medications, systemic diseases, dehydration, and radiation therapy. Patients may experience difficulty swallowing, altered taste, and increased dental caries due to the lack of saliva, which plays a crucial role in oral health. The condition can be acute or chronic, and its severity can significantly impact a patient's quality of life. Diagnosis typically involves a thorough clinical history, assessment of medication use, and evaluation of systemic conditions. Laboratory tests may be conducted to assess salivary flow rates or to rule out underlying conditions. It is essential to identify the etiology of dry mouth to provide appropriate management and treatment options.
Comprehensive patient history, including medication review and systemic disease assessment.
Patients presenting with dry mouth due to medication side effects or systemic diseases such as diabetes.
Consideration of comorbidities that may contribute to xerostomia.
Acute assessment of dry mouth in the context of dehydration or acute illness.
Patients presenting with dry mouth due to acute illness, dehydration, or medication administration.
Rapid assessment and documentation of hydration status and potential interventions.
Used when evaluating a patient with dry mouth in an outpatient setting.
Document history, examination findings, and medical decision-making.
Internal medicine may require more detailed documentation of comorbidities.
Document the patient's history, any medications that may contribute to dry mouth, and any relevant clinical findings. Include the duration and severity of symptoms to provide a comprehensive picture.
