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Home/Diagnosis/ICD-10 Coding for Abscessed Tooth

ICD-10 Coding for Abscessed Tooth

K04.7
K04.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abscessed tooth includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Dental Abscess
Periapical Abscess
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Key Information: ICD-10 Coding for Abscessed Tooth

Essential facts and insights about ICD-10 Coding for Abscessed Tooth

Use ICD-10 code K04.7 for periapical abscess without sinus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Periapical abscess without sinus

Billable Code
K04.7
Billable

Diagnostic Criteria

  • • Radiographic evidence of abscess without sinus tract

Applicable To

  • • Periapical abscess confined to the tooth root area

Important Notes

  • • Ensure documentation specifies absence of sinus tract.

Periapical abscess with sinus

Billable Code
K04.6
Billable

Diagnostic Criteria

  • • Radiographic or clinical evidence of sinus tract

Applicable To

  • • Periapical abscess with sinus tract

Important Notes

  • • Document the presence of a sinus tract clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

D7510

Intraoral incision and drainage of abscess

Use when incision and drainage are performed for the abscess.

D3330

Molar endodontic therapy

Use when root canal therapy is performed.

Frequently Asked Questions

What is the ICD-10 code for an abscessed tooth?

The ICD-10 code for a periapical abscess without sinus is K04.7, while with sinus involvement it is K04.6.

How do you code a dental abscess with sinus tract?

Use ICD-10 code K04.6 for a periapical abscess with a sinus tract.

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