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Home/Diagnosis/ICD-10 Coding for Tooth Abscess

ICD-10 Coding for Tooth Abscess

K04.6
K04.7

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

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

Essential facts and insights about ICD-10 Coding for Tooth 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

  • • Sinus tract observed clinically or via imaging

Applicable To

  • • Periapical abscess with sinus tract

Important Notes

  • • Ensure documentation specifies the presence of a sinus tract.

Periapical abscess without sinus

Billable Code
K04.7
Billable

Diagnostic Criteria

  • • Absence of sinus tract
  • • Imaging showing localized periapical lesion

Applicable To

  • • Periapical abscess without sinus tract

Important Notes

  • • Ensure documentation confirms the absence of a sinus tract.
Ancillary Codes

Additional codes that may be used with this diagnosis

D7510

Incision and drainage of abscess

Use for procedural documentation when I&D is performed.

Frequently Asked Questions

What is the ICD-10 code for a tooth abscess with a sinus?

The ICD-10 code for a tooth abscess with a sinus is K04.6. This code is used when a sinus tract is present with the abscess.

How do you code a tooth abscess without a sinus?

For a tooth abscess without a sinus, use ICD-10 code K04.7. Ensure documentation confirms the absence of a sinus tract.

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