M79.604 - Pain in right leg

Clinical Definition

A lesion on the oral mucosa causing localized ulceration and inflammation, usually presenting as a shallow, painful sore with a white or yellow center and red border. Apthous ulcers are recurrent and typically heal within 10-14 days without scarring.

Documentation Requirements

• Location: Must specify exact location within oral cavity (e.g., buccal mucosa, tongue, soft palate)

• Size: Document diameter of ulcer(s)

• Number: Single vs. multiple lesions

• Duration: Acute vs. chronic/recurrent

• Type: Minor, major, or herpetiform

• Associated conditions: Document if related to systemic disease

• Pain level: Document presence/absence of pain

Common Synonyms

• Canker sore

• Mouth ulcer

• Oral ulcer

• Aphthae

Coding Conflicts

Excludes1:

• Herpes simplex lesions (B00.2)

• Candidiasis of mouth (B37.0)

Excludes2:

• Cicatricial pemphigoid (L12.1)

• Pemphigus vulgaris (L10.0)

Scribing.io Automation

The AI scribe automatically identifies and captures:

• Anatomic terms for oral cavity locations

• Descriptions of lesion appearance and size

• Pattern language like "recurrent" or "chronic"

• Associated symptoms and pain descriptors

• Treatment modalities mentioned

• Follow-up recommendations

Keywords are mapped to appropriate ICD-10 codes while maintaining context for accurate documentation.