ICD-10-CM Billable Code

K04.02

Irreversible pulpitis

Clinical Classification Guidelines

Medical Intelligence & Overview

Irreversible pulpitis is a dental condition characterized by severe inflammation of the dental pulp, the soft tissue inside a tooth that contains nerves and blood vessels. This condition often results in persistent pain that does not subside on its own and typically requires professional dental treatment. If untreated, it can lead to more serious issues like abscesses or tooth loss.

Causes & Symptoms

Clinical Causes: Deep dental decay or cavities that reach the pulp tissue Repeated dental procedures on the same tooth Trauma or injury to the tooth causing pulp damage Cracks or fractures in the tooth exposing the pulp Poor oral hygiene leading to increased risk of decay and inflammation

Key Symptoms: Persistent, severe toothache that may worsen with hot or cold stimuli Sensitivity to sweet foods or drinks Swelling or tenderness in the surrounding gums Discoloration of the affected tooth Possibility of pus formation or abscess in advanced cases

Diagnostic & Treatment

Diagnosis Path: Diagnosis is typically made by a dentist through a combination of patient history, clinical examination, and diagnostic tests. These tests may include:

Treatment Protocols: Treatment options focus on removing the inflamed or infected tissue and protecting the tooth. Common procedures include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K04.02 a billable ICD-10 code?
Yes, K04.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K04.02?
Clinical documentation must specify the nature of Irreversible pulpitis and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

irreversible pulpitis