ICD-10 A69.0
Billable / SpecificNecrotizing ulcerative stomatitis
About ICD-10-CM A69.0
ICD-10-CM code A69.0 represents Necrotizing ulcerative stomatitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A69). The 2026 edition of ICD-10-CM A69.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under A69.0. Per CMS ICD-10-CM Tabular 2026.
- Cancrum oris
- Fusospirochetal gangrene
- Noma
- Stomatitis gangrenosa
Medicare LCD Coverage for A69.0
Local Coverage Determinations (LCDs) from CMS MACs that list A69.0 as a covered diagnosis.
Showing top 10 of 21 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing A69.0.
1 Medicare
CPT Codes Commonly Billed with A69.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 97130 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92608 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 97129 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92607 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 96110 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92524 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92508 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92597 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92521 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 96105 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
Convert A69.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| A69.0 | 101 | 10000 |
| A69.0 | 5281 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To A69.0
Other codes in section A65-A69 (Other spirochetal diseases).
ICD-10 A69.0, Billing FAQ
Is ICD-10 code A69.0 billable? +
Yes, A69.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to A69.0? +
ICD-10 A69.0 includes: Cancrum oris; Fusospirochetal gangrene; Noma, and 1 more clinical synonyms.
What CPT codes are commonly billed with A69.0? +
Procedures frequently paired with A69.0 include: 97130, 92608, 97129, 92607, 96110.
What ICD-9 codes does A69.0 map to? +
Per CMS GEMs, A69.0 maps to ICD-9 codes: 101, 5281. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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