K14.6 ICD-10-CM Code: Glossodynia
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 inclusion terms · 7 Excludes2 · 7 use-additional codes
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
- MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
- MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
- MS-DRG 157 — DENTAL AND ORAL DISEASES WITH MCC (MDC 03)
- MS-DRG 158 — DENTAL AND ORAL DISEASES WITH CC (MDC 03)
- MS-DRG 159 — DENTAL AND ORAL DISEASES WITHOUT CC/MCC (MDC 03)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K14.6 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on K14.6 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Glossopyrosis
- Painful tongue
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- erythroplakia (K13.29) Compare K14.6 vs K13.29 →
- focal epithelial hyperplasia (K13.29) Compare K14.6 vs K13.29 →
- leukoedema of tongue (K13.29) Compare K14.6 vs K13.29 →
- leukoplakia of tongue (K13.21) Compare K14.6 vs K13.21 →
- hairy leukoplakia (K13.3) Compare K14.6 vs K13.3 →
- macroglossia (congenital) (Q38.2) Compare K14.6 vs Q38.2 →
- submucous fibrosis of tongue (K13.5) Compare K14.6 vs K13.5 →
Source: inherited from K14
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Source: inherited from K14
Coder workflow for K14.6
MedCoder structured workflow — derived from this code’s own official record
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Official instructions as workflow
Excludes2 — not part of K14.6(7 notes)
Coding workflow: The conditions named in this note are not included in K14.6. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareK13.29, K13.21, K13.3, Q38.2, K13.5
See the official tabular notes · Guidelines I.A.12.b
Use Additional Code — after identifying K14.6(7 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with K14.6 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewF10, Z77.22, Z87.891, Z57.31, F17, Z72.0
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with K14.6?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (7)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Official Coding Guidelines
No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:
Chapter 11: Diseases of the Digestive System (K00-K95)
Reserved for future guideline expansion
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name K14.6 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: R52 — Pain, unspecified.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes across 2 chapters: G89 — Pain, not elsewhere classified, K13 — Other diseases of lip and oral mucosa (via K14.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 6 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 157 (MDC 03), DRG 158 (MDC 03), DRG 159 (MDC 03).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):DIG003 — Diseases of mouth; excluding dental (default); DEN001 — Any dental condition including traumatic injury; DEN002 — Nontraumatic dental conditions.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Diseases of mouth; excluding dental, Any dental condition including traumatic injury, Nontraumatic dental conditions).
K13.21 — Leukoplakia of oral mucosa, including tongue, K13.22 — Minimal keratinized residual ridge mucosa, K13.23 — Excessive keratinized residual ridge mucosa, K13.24 — Leukokeratosis nicotina palati, K13.29 — Other disturbances of oral epithelium, including tongue, K13.3 — Hairy leukoplakia, K13.4 — Granuloma and granuloma-like lesions of oral mucosa, K13.5 — Oral submucous fibrosis, K13.6 — Irritative hyperplasia of oral mucosa, K13.70 — Unspecified lesions of oral mucosa, K13.79 — Other lesions of oral mucosa, K14.0 — Glossitis, K14.1 — Geographic tongue, K14.2 — Median rhomboid glossitis, K14.3 — Hypertrophy of tongue papillae, K14.4 — Atrophy of tongue papillae, K14.5 — Plicated tongue, K14.8 — Other diseases of tongue, K14.9 — Disease of tongue, unspecified, R68.2 — Dry mouth, unspecified, +613 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Pain”, “Sensation”, “Burning”; these codes share that main term but sit in a different category of the Tabular List.
G89.29 — Other chronic pain (chronic), G89.3 — Neoplasm related pain (acute) (chronic) (due to cancer), G89.4 — Chronic pain syndrome (chronic, associated with significant psychosocial dysfunction), H57.1 — Ocular pain (ocular), H57.8A — Foreign body sensation eye (ocular) (foreign body, eye), I20.9 — Angina pectoris, unspecified (chest, ischemic), J34.89 — Other specified disorders of nose and nasal sinuses (nose), J39.2 — Other diseases of pharynx (pharynx), K08.89 — Other specified disorders of teeth and supporting structures (tooth), K13.79 — Other lesions of oral mucosa (mouth), K62.89 — Other specified diseases of anus and rectum (anus), K82.9 — Disease of gallbladder, unspecified (gallbladder), M25.50 — Pain in unspecified joint (joint), M25.51 — Pain in shoulder (shoulder), M25.52 — Pain in elbow (joint, elbow), M25.53 — Pain in wrist (joint, wrist), M25.54 — Pain in joints of hand (joint, hand), M25.55 — Pain in hip (joint, hip), M25.56 — Pain in knee (joint, knee), M25.57 — Pain in ankle and joints of foot (joint, toe), +88 more
Contextual Map
Every relationship of K14.6 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run K14.6 with these 3 related codes in Claim Check
Hierarchy
- K00-K95 — Chapter 11: Diseases of the Digestive System (K00-K95) (K00-K95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K00-K14 — Diseases of oral cavity and salivary glands[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- R52 — Pain, unspecified[Excludes1]: “tongue pain (K14.6)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- G89 — Pain, not elsewhere classified[Excludes2]: “tongue pain (K14.6)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- K13 — Other diseases of lip and oral mucosa[Excludes2](via K14.-): “diseases of tongue (K14.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- DIG003 — Diseases of mouth; excluding dental[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- DEN001 — Any dental condition including traumatic injury[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- DEN002 — Nontraumatic dental conditions[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC[MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC[MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC[MS-DRG]: “TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 157 — DENTAL AND ORAL DISEASES WITH MCC[MS-DRG]: “DENTAL AND ORAL DISEASES WITH MCC (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 158 — DENTAL AND ORAL DISEASES WITH CC[MS-DRG]: “DENTAL AND ORAL DISEASES WITH CC (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 159 — DENTAL AND ORAL DISEASES WITHOUT CC/MCC[MS-DRG]: “DENTAL AND ORAL DISEASES WITHOUT CC/MCC (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- Pre-MDC[MDC crossing]: “Pre-MDC — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 153 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,147 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Burning, tongue[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Glossagra[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Glossalgia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Glossodynia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Glossopyrosis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Pain (s), tongue[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Sensation, burning (skin), tongue[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (9)
- K14 — Diseases of tongue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.0 — Glossitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.1 — Geographic tongue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.2 — Median rhomboid glossitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.3 — Hypertrophy of tongue papillae[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.4 — Atrophy of tongue papillae[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.5 — Plicated tongue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K14.8 — Other diseases of tongue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 1 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "K14.6 — Glossodynia." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/k14.6-glossodynia
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionGlossodynia
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to K14.6 in its code family, with their registry titles.