K04.5
Chronic apical periodontitis
Clinical Classification Guidelines
Inclusion Terms
- Apical or periapical granuloma
- Apical periodontitis NOS
Excludes Type 1
- chronic periodontitis (K05.3-)
Medical Intelligence & Overview
Chronic apical periodontitis, known medically by the ICD-10 code K04.5, is a long-lasting inflammation of the tissues surrounding the apex of a tooth's root. It often results from untreated dental infections that have extended beyond the pulp, leading to the development of granulomas or cysts at the root tip. This condition can persist silently over time or cause discomfort, and if left untreated, it may lead to further dental complications.
Causes & Symptoms
Clinical Causes: Untreated dental caries (tooth decay) that penetrate deep into the pulp chamber Trauma to the tooth causing pulp necrosis Repeated dental procedures on the same tooth Poor oral hygiene leading to periodontal infections that spread to periapical tissues Pre-existing periapical lesions such as granulomas or cysts from previous infections Cracked or fractured teeth allowing bacteria to infect pulp tissues
Key Symptoms: Often asymptomatic, especially in early stages Persistent dull ache or mild sensitivity to hot, cold, or pressure Localized swelling or tenderness around the affected tooth Presence of a sinus tract or gumboil near the root area Discoloration of the affected tooth Possible loosening of the tooth in advanced cases Recurrent or persistent periodontal pocket formation around the involved root
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive dental evaluation, including:
Treatment Protocols: Management of chronic apical periodontitis typically includes:
Clinical Advice & FAQs
Billing Guidance
Is K04.5 a billable ICD-10 code?
Yes, K04.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K04.5?
Clinical documentation must specify the nature of Chronic apical periodontitis and any associated comorbidities for accurate reporting.
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