ICD-10 K13.0
Billable / SpecificDiseases of lips
About ICD-10-CM K13.0
ICD-10-CM code K13.0 represents Diseases of lips. This is a billable/specific code in the Digestive System chapter (block K13). The 2026 edition of ICD-10-CM K13.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under K13.0. Per CMS ICD-10-CM Tabular 2026.
- Abscess of lips
- Angular cheilitis
- Cellulitis of lips
- Cheilitis NOS
- Cheilodynia
- Cheilosis
- Exfoliative cheilitis
- Fistula of lips
- Glandular cheilitis
- Hypertrophy of lips
- Perlèche NEC
Type 1 Excludes
Pure excludes, these codes can never be coded together with K13.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- ariboflavinosis (E53.0)
- cheilitis due to radiation-related disorders (L55-L59)
- congenital fistula of lips (Q38.0)
- congenital hypertrophy of lips (Q18.6)
- Perlèche due to candidiasis (B37.83)
- Perlèche due to riboflavin deficiency (E53.0)
Medicare LCD Coverage for K13.0
Local Coverage Determinations (LCDs) from CMS MACs that list K13.0 as a covered diagnosis.
Showing top 10 of 28 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K13.0.
1 Cigna
2 Medicare
CPT Codes Commonly Billed with K13.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 10081 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10180 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10080 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
- 10160 CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures CMS LCD
Convert K13.0 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 |
|---|---|---|
| K13.0 | 5285 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K13.0
Other codes in section K00-K14 (Diseases of oral cavity and salivary glands).
ICD-10 K13.0, Billing FAQ
Is ICD-10 code K13.0 billable? +
Yes, K13.0 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 K13.0? +
ICD-10 K13.0 includes: Abscess of lips; Angular cheilitis; Cellulitis of lips, and 8 more clinical synonyms.
What codes are Type 1 Excludes for K13.0? +
Type 1 Excludes (never code together with K13.0): ariboflavinosis (E53.0); cheilitis due to radiation-related disorders (L55-L59); congenital fistula of lips (Q38.0)
What CPT codes are commonly billed with K13.0? +
Procedures frequently paired with K13.0 include: 10081, 10180, 10080, 10160.
What ICD-9 codes does K13.0 map to? +
Per CMS GEMs, K13.0 maps to ICD-9 codes: 5285. 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 June 1, 2026.
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