2026 ICD-10-CM Diagnosis Code K11.4Fistula of salivary gland

ICD-10-CM CodesK00–K95K00-K14K11

ICD-10-CM K11.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K11.4 is a billable ICD-10-CM diagnosis code for fistula of salivary gland. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 154 through 156. Coders also document this condition as fistula of parotid gland. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury, Diseases of mouth; excluding dental, and Nontraumatic dental conditions.

Code Identity

ICD-10-CM Code
K11.4
Billable Status
Yes — Valid for Submission
Code Describes
Fistula of salivary gland
Short Description
Fistula of salivary gland
Same as the full description in the CMS dataset.
Parent Code
Diseases of salivary glands

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK00-K14Diseases of oral cavity and salivary glands
CategoryK11Diseases of salivary glands
This CodeK11.4Fistula of salivary gland

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fistula of parotid gland
  • Fistula of salivary gland
  • Fistula of sublingual gland
  • Fistula of submandibular gland
  • Oral fistula

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • congenital fistula of salivary gland Q38.4

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Fistula(cutaneous)
      • parotid (gland)
    • Fistula(cutaneous)
      • salivary duct or gland (any)
    • Fistula(cutaneous)
      • sublingual gland
    • Fistula(cutaneous)
      • submandibular gland
    • Fistula(cutaneous)
      • submaxillary (gland)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DEN001
Any dental condition including traumatic injury
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG003
Diseases of mouth; excluding dental
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DEN002
Nontraumatic dental conditions
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Oral Fistula

    an abnormal passage within the mouth communicating between two or more anatomical structures.

Patient EducationClinical

Fistulas

A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K11.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
527.4 Salivary gland fistula
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K11.4Overview

Is K11.4 (Diseases of salivary glands) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fistula of salivary gland on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K11.4 group to?

When fistula of salivary gland is the principal diagnosis on an inpatient stay, it groups to MS-DRG 154, 155, 156, with relative weights from 0.6911 to 1.5635 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K11.4?

Under the General Equivalence Mappings, fistula of salivary gland converts to ICD-9-CM 527.4 (salivary gland fistula). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.