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Home/Diagnosis/ICD-10 Coding for Dental Pain

ICD-10 Coding for Dental Pain

K08.9
K02.5-

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

Also Known as:
Toothache
Odontalgia
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Key Information: ICD-10 Coding for Dental Pain

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

Use ICD-10 code K08.9 for disorder of teeth and supporting structures, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Disorder of teeth and supporting structures, unspecified

Billable Code
K08.9
Billable

Diagnostic Criteria

clinical:
  • • Non-specific tenderness with no radiographic evidence.

Applicable To

  • • Generalized tooth pain without visible caries

Important Notes

  • • Avoid using unspecified codes unless necessary.

Dental caries

Non-Billable
K02.5-
Non-Billable

Diagnostic Criteria

clinical:
  • • Visual/tactile exam
  • • Radiographic confirmation

Applicable To

  • • Pain localized to a carious lesion confirmed by visual/tactile exam + radiographs

Important Notes

  • • Ensure documentation supports the presence of caries.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Sequence first if encounter is primarily for pain management.

Frequently Asked Questions

What is the ICD-10 code for dental pain?

The ICD-10 code for unspecified dental pain is K08.9. Use this code when the pain's etiology is unclear after a basic exam.

When should G89.11 be used for dental pain?

Use G89.11 when the encounter is primarily for pain management due to trauma, sequencing it before dental codes.

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