Necrosis of pulp
ICD-10 K04.1 is a billable code used to indicate a diagnosis of necrosis of pulp.
Necrosis of pulp, also known as pulp necrosis, is a dental condition characterized by the death of the dental pulp tissue within the tooth. The dental pulp is a soft tissue located in the center of the tooth, containing nerves and blood vessels. Clinical presentation often includes severe toothache, sensitivity to temperature changes, and swelling in the surrounding gum tissue. The condition can arise from untreated dental caries, trauma, or extensive dental procedures that compromise the pulp's blood supply. Disease progression can lead to abscess formation, systemic infection, and ultimately tooth loss if not treated promptly. Diagnostic considerations include clinical examination, radiographic imaging to assess the extent of pulp damage, and vitality tests to determine the health of the pulp. Treatment typically involves root canal therapy to remove the necrotic tissue and seal the tooth to prevent reinfection. In some cases, extraction may be necessary if the tooth is beyond repair.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K04.1 specifically covers necrosis of the dental pulp, which may result from untreated caries, trauma, or other dental procedures leading to pulp death. It is important to differentiate this condition from reversible pulpitis and other dental pulp diseases.
K04.1 should be used when there is clear evidence of pulp necrosis, as indicated by clinical symptoms and diagnostic imaging. It is important to use this code when the pulp is irreversibly damaged, distinguishing it from conditions like K04.0 (pulpitis) where the pulp may still be viable.
Documentation for K04.1 should include a thorough clinical examination, patient-reported symptoms, radiographic findings indicating pulp necrosis, and treatment plans. Detailed notes on the patient's dental history and any previous treatments are also essential.
