Periapical abscess without sinus
ICD-10 K04.7 is a billable code used to indicate a diagnosis of periapical abscess without sinus.
K04.7 refers to a periapical abscess without sinus, which is an infection that occurs at the apex of a tooth root. This condition typically arises from untreated dental caries, trauma, or previous dental procedures that have compromised the pulp of the tooth. Clinically, patients may present with localized pain, swelling, and tenderness in the affected area, often accompanied by systemic symptoms such as fever or malaise. The anatomy involved includes the tooth, surrounding alveolar bone, and periodontal tissues. Disease progression can lead to further complications, such as the formation of a dental fistula or systemic infection if left untreated. Diagnostic considerations include clinical examination, radiographic imaging to assess the extent of the abscess, and possibly pulp vitality tests. Treatment usually involves drainage of the abscess, root canal therapy, or extraction of the affected tooth, depending on the severity and extent of the infection.
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
K04.7 specifically covers periapical abscesses that do not have an associated sinus tract. This includes infections localized at the tooth root apex due to pulp necrosis or other dental issues.
K04.7 should be used when there is a confirmed periapical abscess without any sinus involvement. If a sinus tract is present, K04.6 should be selected instead.
Documentation should include clinical findings such as pain assessment, imaging results showing the abscess, and treatment plans. Detailed notes on the absence of sinus involvement are also necessary.
