Irreversible pulpitis
ICD-10 K04.02 is a billable code used to indicate a diagnosis of irreversible pulpitis.
Irreversible pulpitis is a dental condition characterized by inflammation of the dental pulp that is not reversible. Clinically, it presents with severe, persistent pain that may be spontaneous or provoked by thermal stimuli. The anatomy involved includes the dental pulp, which is the innermost part of the tooth containing nerves and blood vessels. Disease progression typically involves the initial stages of reversible pulpitis, where inflammation is mild and can resolve, but if left untreated, it progresses to irreversible pulpitis. This condition may lead to necrosis of the pulp and subsequent complications such as abscess formation. Diagnostic considerations include a thorough clinical examination, patient history, and diagnostic tests such as percussion tests, thermal tests, and radiographic evaluation to assess the extent of pulp involvement and rule out periapical pathology. Treatment usually involves endodontic therapy (root canal treatment) or extraction, depending on the tooth's condition and patient factors.
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
K04.02 specifically covers irreversible pulpitis, which may arise from untreated dental caries, trauma, or extensive dental procedures. It is characterized by severe pain and potential complications like pulp necrosis or abscess formation.
K04.02 should be used when the clinical presentation indicates irreversible pulpitis, as evidenced by persistent pain and diagnostic findings. It is differentiated from K04.01, which is used for reversible pulpitis where the pulp can recover.
Documentation should include a detailed patient history, clinical examination findings, diagnostic test results, and treatment plans. Radiographs showing pulp involvement and any associated periapical pathology should also be included.
