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

ICD-10 K11

Non-Billable Header

Diseases of salivary glands

K11
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM K11

ICD-10-CM code K11 represents Diseases of salivary glands. This is a non-billable header code in the Digestive System chapter (block K11). The 2026 edition of ICD-10-CM K11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Use Additional Code

When coding K11, also report these additional codes when applicable.

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Medicare LCD Coverage for K11

Local Coverage Determinations (LCDs) from CMS MACs that list K11 as a covered diagnosis.

No Medicare LCDs reference K11 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K11.

No commercial payer policies reference K11 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K11 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with K11

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

No procedure linkages on file for K11

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.

ICD-10 K11, Billing FAQ

Is ICD-10 code K11 billable? +

No, K11 is a non-billable header code. Use a more specific child code from block K11 when submitting claims.

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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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