ICD-10-CM Billable Code

K11.5

Sialolithiasis

Clinical Classification Guidelines

Inclusion Terms

  • Calculus of salivary gland or duct
  • Stone of salivary gland or duct

Medical Intelligence & Overview

Sialolithiasis, commonly known as salivary gland stones, is a condition characterized by the formation of calcified deposits within the salivary glands or their ducts. These stones can cause swelling, pain, and other salivary gland issues, affecting the ability to chew and speak comfortably. Recognizing the signs and understanding the causes can help in managing this condition effectively.

Causes & Symptoms

Clinical Causes: Accumulation of mineral and calcium salts in the saliva, leading to stone formation. Decreased saliva flow or changes in saliva composition, which promote stone development. Chronic inflammation or infections of the salivary glands. Dehydration and reduced fluid intake. Certain medications that reduce saliva production. Anatomical variations or blockages within the salivary ducts.

Key Symptoms: Swelling in the affected salivary gland, often near the jaw or under the tongue. Pain and tenderness, especially during meals or when salivary flow is stimulated. Difficulty swallowing or opening the mouth comfortably. Dry mouth or a sensation of saliva being blocked. Possible infection signs, such as redness, pus, or fever. Unilateral swelling or pain, typically on one side.

Diagnostic & Treatment

Diagnosis Path: Medical professionals typically diagnose sialolithiasis through a combination of clinical examination and imaging studies. They may perform:

Treatment Protocols: The management of sialolithiasis depends on the size and location of the stone, as well as the severity of symptoms. Common treatment options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K11.5 a billable ICD-10 code?
Yes, K11.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K11.5?
Clinical documentation must specify the nature of Sialolithiasis and any associated comorbidities for accurate reporting.

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