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Home/Diagnosis/ICD-10 Coding for Tooth Infection

ICD-10 Coding for Tooth Infection

K04.7
K04.6

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

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

Essential facts and insights about ICD-10 Coding for Tooth 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

clinical_criteria:
  • • Absence of sinus tract confirmed by clinical examination and imaging.

Applicable To

  • • Periapical abscess without sinus tract

Important Notes

  • • Ensure radiographic evidence supports the absence of a sinus tract.

Periapical abscess with sinus

Billable Code
K04.6
Billable

Diagnostic Criteria

clinical_criteria:
  • • Visible sinus tract
  • • Purulent drainage
  • • Fistulation

Applicable To

  • • Periapical abscess with sinus tract

Important Notes

  • • Document the presence of a sinus tract with clinical and imaging evidence.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z76.82

Dental infection control

Use when infection control procedures are performed.

Frequently Asked Questions

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

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

How do you code a dental abscess?

A dental abscess without a sinus tract is coded as K04.7, while one with a sinus tract is coded as K04.6. Ensure documentation supports the code used.

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