Diseases of pulp and periapical tissues
Chapter 11:Diseases of the digestive system
ICD-10 K04 is a used to indicate a diagnosis of diseases of pulp and periapical tissues.
K04 encompasses diseases of the pulp and periapical tissues, primarily affecting the dental pulp, which is the innermost part of the tooth containing nerves and blood vessels. Clinical presentations often include toothache, sensitivity to temperature, and swelling in the gums. The anatomy involved includes the dental pulp, periapical tissues, and surrounding structures such as the alveolar bone. Disease progression can lead to pulp necrosis, abscess formation, and potential tooth loss if untreated. Diagnostic considerations include clinical examination, radiographic imaging to assess periapical changes, and pulp vitality tests. Conditions such as pulpitis (inflammation of the pulp), periapical abscess, and periapical granuloma fall under this code, necessitating a thorough understanding of dental anatomy and pathology for accurate diagnosis and treatment planning.
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 covers conditions such as acute and chronic pulpitis, periapical abscess, and periapical granuloma. Each condition has specific diagnostic criteria, including clinical symptoms and radiographic findings.
K04 should be used when there is clear evidence of pulp or periapical tissue involvement. It is distinct from codes for periodontal diseases, which do not involve the pulp.
Documentation should include clinical examination findings, patient-reported symptoms, radiographic images showing periapical changes, and treatment plans. Detailed notes on the patient's dental history are also essential.
