ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J34.81

Billable / Specific

Nasal mucositis (ulcerative)

J34
Block
0
Synonyms
51
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM J34.81

ICD-10-CM code J34.81 represents Nasal mucositis (ulcerative). This is a billable/specific code in the Respiratory System chapter (block J34). The 2026 edition of ICD-10-CM J34.81 became effective on October 1, 2025.

Type 2 Excludes

Not included here, the excluded code is not part of J34.81, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • gastrointestinal mucositis (ulcerative) (K92.81)
  • mucositis (ulcerative) of vagina and vulva (N76.81)
  • oral mucositis (ulcerative) (K12.3-)

Coding Notes

Code Also

  • type of associated therapy, such as:
  • antineoplastic and immunosuppressive drugs (T45.1X-)
  • radiological procedure and radiotherapy (Y84.2)

Medicare LCD Coverage for J34.81

Local Coverage Determinations (LCDs) from CMS MACs that list J34.81 as a covered diagnosis.

51 LCDs

Showing top 10 of 51 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 86003 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95018 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J34.81.

6 policies

1 Aetna

Septoplasty and Rhinoplasty - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0005

1 Cigna

Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554)
Policy ID: MM_0554

4 Medicare

Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: Allergy Testing
Policy ID: ART-57473

CPT Codes Commonly Billed with J34.81

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J34.81

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J34.81 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J34.81 47811 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J34.81, Billing FAQ

Is ICD-10 code J34.81 billable? +

Yes, J34.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 2 Excludes for J34.81? +

Type 2 Excludes (may be coded together when both conditions exist): gastrointestinal mucositis (ulcerative) (K92.81); mucositis (ulcerative) of vagina and vulva (N76.81); oral mucositis (ulcerative) (K12.3-)

What ICD-9 codes does J34.81 map to? +

Per CMS GEMs, J34.81 maps to ICD-9 codes: 47811. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included