Chronic sialoadenitis
ICD-10 K11.23 is a billable code used to indicate a diagnosis of chronic sialoadenitis.
Chronic sialoadenitis is a long-term inflammation of the salivary glands, primarily affecting the parotid, submandibular, and sublingual glands. Clinically, patients may present with recurrent swelling, pain, and tenderness in the affected gland, particularly during meals when saliva production is stimulated. The condition can arise from various etiologies, including ductal obstruction due to stones (sialolithiasis), autoimmune disorders, or chronic infections. Anatomically, the salivary glands are located in the oral cavity and neck, and their dysfunction can significantly impact oral health and digestion. Disease progression may lead to complications such as abscess formation or gland atrophy if left untreated. Diagnostic considerations include imaging studies like ultrasound or sialography to assess ductal patency and identify any obstructive lesions. A thorough clinical history and physical examination are essential for accurate diagnosis and management planning.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K11.23 specifically covers chronic sialoadenitis, which may be associated with conditions such as recurrent sialolithiasis, Sjögren's syndrome, or chronic bacterial infections. It is important to differentiate this from acute sialoadenitis, which is characterized by sudden onset and may require different management.
K11.23 should be used when the clinical presentation indicates a chronic condition lasting longer than three months, with recurrent symptoms. If the condition is acute or has a different underlying cause, other codes such as K11.21 should be considered.
Documentation should include a detailed history of symptoms, physical examination findings, imaging results, and any treatments attempted. Evidence of chronicity, such as recurrent episodes over time, should be clearly noted to support the use of K11.23.
