Recurrent oral aphthae

This code represents a chronic or recurring inflammatory condition characterized by painful, open sores (ulcers) on the mucous membranes inside the mouth. These lesions are typically round or oval with a white or yellowish center and a red border, and they are not associated with herpes simplex virus infection.

Use this code when documentation clearly indicates a diagnosis of recurrent aphthous stomatitis or recurrent aphthous ulcers. This applies to patients experiencing repeated episodes of oral aphthae, rather than a single, isolated occurrence. Supporting documentation should specify the recurrent nature of the condition.

• Differentiate from herpetic stomatitis; this code is specifically for non-herpetic aphthous ulcers.
• Ensure documentation specifies "recurrent" or "chronic" to support the use of this code over a more general oral lesion code.
• Consider any associated systemic conditions that may contribute to recurrent aphthae, as these may require additional coding.