Valid for Submission
K04.5 is a billable diagnosis code used to specify a medical diagnosis of chronic apical periodontitis. The code K04.5 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K04.5 might also be used to specify conditions or terms like apical granuloma, apical periodontitis, asymptomatic periapical periodontitis, disorder of periapical tissues of tooth, phoenix abscess , symptomatic periapical periodontitis, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K04.5:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Apical or periapical granuloma
- Apical periodontitis NOS
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- chronic periodontitis K05.3
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K04.5 are found in the index:
- - Granuloma - L92.9
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Apical granuloma
- Apical periodontitis
- Asymptomatic periapical periodontitis
- Disorder of periapical tissues of tooth
- Phoenix abscess
- Symptomatic periapical periodontitis
Convert K04.5 to ICD-9 Code
Information for Patients
If you have gum disease, you're not alone. Many U.S. adults currently have some form of the disease. It ranges from simple gum inflammation, called gingivitis, to serious damage to the tissue and bone supporting the teeth. In the worst cases, you can lose teeth.
In gingivitis, the gums become red and swollen. They can bleed easily. Gingivitis is a mild form of gum disease. You can usually reverse it with daily brushing and flossing and regular cleanings by a dentist or dental hygienist. Untreated gingivitis can lead to periodontitis. If you have periodontitis, the gums pull away from the teeth and form pockets that become infected. If not treated, the bones, gums and connective tissue that support the teeth are destroyed.
NIH: National Institute of Dental and Craniofacial Research
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