Acute apical periodontitis of pulpal origin
ICD-10 K04.4 is a billable code used to indicate a diagnosis of acute apical periodontitis of pulpal origin.
Acute apical periodontitis of pulpal origin is an inflammatory condition affecting the periapical tissues of a tooth, typically resulting from pulp necrosis due to bacterial infection. Clinically, patients may present with localized pain, swelling, and tenderness upon percussion of the affected tooth. The anatomy involved includes the dental pulp, periapical tissues, and surrounding alveolar bone. Disease progression can lead to the development of an abscess if left untreated, which may further complicate the clinical picture. Diagnostic considerations include a thorough clinical examination, radiographic evaluation to assess periapical changes, and possibly pulp vitality tests. The condition is often associated with dental caries or trauma that compromises the pulp, necessitating prompt intervention to prevent further complications such as systemic infection or tooth loss.
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
K04.4 specifically covers acute apical periodontitis resulting from pulp necrosis, often due to bacterial infection. It is characterized by acute inflammation of the periapical tissues and may present with pain and swelling.
K04.4 should be used when the condition is acute and directly related to pulp necrosis. It is distinct from chronic conditions like K04.5, which involves a longer duration of symptoms and different management strategies.
Documentation should include a detailed clinical examination, patient-reported symptoms, radiographic findings indicating periapical changes, and treatment plans. Evidence of acute symptoms and the relationship to pulp necrosis is crucial.
