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

ICD-10 K11.7

Billable / Specific

Disturbances of salivary secretion

K11
Block
3
Synonyms
424
LCDs
20
Payer Policies
0
Linked CPTs

About ICD-10-CM K11.7

ICD-10-CM code K11.7 represents Disturbances of salivary secretion. This is a billable/specific code in the Digestive System chapter (block K11). The 2026 edition of ICD-10-CM K11.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K11.7. Per CMS ICD-10-CM Tabular 2026.

  • Hypoptyalism
  • Ptyalism
  • Xerostomia

Type 2 Excludes

Not included here, the excluded code is not part of K11.7, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • dry mouth NOS (R68.2)

Medicare LCD Coverage for K11.7

Local Coverage Determinations (LCDs) from CMS MACs that list K11.7 as a covered diagnosis.

424 LCDs

Showing top 10 of 424 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64646 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 52287 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT J0589 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64616 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64611 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64650 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 31570 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64647 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64612 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K11.7.

20 policies

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-57123
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57185
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57186
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

2 Aetna

Treatments to Control Drooling (Sialorrhea)
Policy ID: CPB-0265
Eagle's and Ernest Syndrome
Policy ID: CPB-0400

CPT Codes Commonly Billed with K11.7

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

No procedure linkages on file for K11.7

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 K11.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
K11.7 5277 10000

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

ICD-10 K11.7, Billing FAQ

Is ICD-10 code K11.7 billable? +

Yes, K11.7 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 K11.7? +

ICD-10 K11.7 includes: Hypoptyalism; Ptyalism; Xerostomia.

What codes are Type 2 Excludes for K11.7? +

Type 2 Excludes (may be coded together when both conditions exist): dry mouth NOS (R68.2)

What ICD-9 codes does K11.7 map to? +

Per CMS GEMs, K11.7 maps to ICD-9 codes: 5277. 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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