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Home/Diagnosis/ICD-10 Coding for Dental Infection

ICD-10 Coding for Dental Infection

K04.7
K04.6

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

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

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

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

  • • Absence of sinus tract on examination

Applicable To

  • • Periapical abscess without sinus tract

Important Notes

  • • Ensure documentation specifies absence of sinus tract.

Periapical abscess with sinus

Billable Code
K04.6
Billable

Diagnostic Criteria

  • • Sinus tract visualized
  • • Purulent discharge

Applicable To

  • • Periapical abscess with sinus tract

Important Notes

  • • Document presence of sinus tract clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.21

Encounter for dental examination with abnormal findings

Use when an abscess is discovered during a routine dental exam.

A41.9

Sepsis, unspecified organism

Use when sepsis is present due to dental abscess.

Frequently Asked Questions

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

The ICD-10 code for a dental infection, specifically a periapical abscess without sinus tract, is K04.7. If a sinus tract is present, use K04.6.

How do you code a dental abscess with sepsis?

For a dental abscess with sepsis, sequence A41.9 for sepsis first, followed by K04.6 or K04.7 depending on the presence of a sinus tract.

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