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Home/Diagnosis/ICD-10 Coding for Dental Abscess

ICD-10 Coding for Dental Abscess

K04.6
K04.7

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

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

Essential facts and insights about ICD-10 Coding for Dental Abscess

Use ICD-10 code K04.6 for periapical abscess with sinus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Periapical abscess with sinus

Billable Code
K04.6
Billable

Diagnostic Criteria

  • • Presence of sinus tract

Applicable To

  • • Periapical abscess with sinus tract

Important Notes

  • • Ensure documentation specifies the presence of a sinus tract to differentiate from K04.7.

Periapical abscess without sinus

Billable Code
K04.7
Billable

Applicable To

  • • Periapical abscess without sinus tract

Important Notes

  • • Ensure documentation specifies the absence of a sinus tract to differentiate from K04.6.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.21

Encounter for dental examination with abnormal findings

Use when abnormal findings are noted during a dental exam.

K02.5x

Dental caries

Use to indicate the presence of dental caries contributing to the abscess.

Frequently Asked Questions

What is the ICD-10 code for a dental abscess?

The ICD-10 codes for dental abscesses are K04.6 for periapical abscess with sinus and K04.7 for periapical abscess without sinus.

How do you code a dental abscess with a sinus tract?

For a dental abscess with a sinus tract, use ICD-10 code K04.6, which specifies the presence of a sinus tract.

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