ICD-10 Codes For Dental Practice

Date: 13 Jul 2012

Recommended Codes for Dental Billing and Claims

Z00-Z99 Factors influencing health status and contact with health Services

Z01.2= Routine Dental check – up.

Disorders of tooth development and eruption – K00

K00.0 Anodontia

K00.1 Supernumerary teeth

K00.2 Abnormalities of tooth size and form (macr/micro-dontia, dens in dente)

K00.3 Mottled teeth (Fluorosis)

K00.4 Disturbances in tooth formation

K00.5 Hereditary disturbances in tooth structure, not elsewhere classified ( Amylo/dentino-genisis imperfecta)

K00.6 Disturbances in tooth eruption (Natal/neonatal teeth, retained deciduous tooth)

K00.7 Teething syndrome

K00.8 Other disorders of tooth development (Colour changes due to blood incompatability, biliary malformation, porphyria)

K00.9 Disorders of tooth development, unspecified

 

Embedded and impacted teeth K01

K01.0 Embedded teeth

K01.1 Impacted teeth ( in contact with another tooth)

 

Dental caries K02

K02.0 Caries limited to enamel

K02.1 Caries of dentine

K02.2 Caries of cementum

K02.3 Arrested dental caries

K02.4 Odontoclasia (Infantile meladontia)

K02.8 Other dental caries

K02.9 Dental caries, unspecified

 

Other diseases of hard tissues of teeth – K03

• K03.0 Excessive attrition of teeth
• K03.1 Abrasion of teeth
• K03.2 Erosion of teeth
• K03.3 Pathological resorption of teeth
• K03.4 Hypercementosis
• K03.5 Ankylosis of teeth
• K03.6 Deposits [accretions] on teeth ( Diagnostic for S/P, root planning)
• K03.7 Posteruptive colour change of dental hard tissues (metal, pulp changes)
• K03.8 Other specified diseases of hard tissue of teeth (sensitive dentine)
• K03.9 Diseases of hard tissue or teeth, unspecified

 

Diseases of the pulp and periapical tissues – K04

K04.0 Pulpitis

K04.1 Necrosis of pulp

K04.2 Pulp degeneration ( pulp stones, sclerosis)

K04.3 Abnormal hard tissue formation in pulp (2ndary dentine)

K04.4 Acute apical periodontitis of pulpal origin

K04.5 Chronic apical periodontitis

K04.6 Periapical abscess with sinus

K04.7 Periapical abscess without sinus (dental abscess)

K04.8 Radicular cyst

K04.9 Other and unspecified diseases of the pulp and periapical tissues

 

Gingivitis and periodontal diseases K05

K05.0 Acute gingivitis

K05.1 Chronic gingivitis

K05.2 Acute Periodontitis ( includes acute pericoronitis)

K05.3 Chronic Periodontitis ( includes chronic pericoronitis)

K05.4 Periodontosis (juvenile)

K05.5 Other periodontal disease

K05.6 Periodontal disease, unspecified

 

Other diseases of the gingiva and edentulous alveolar ridges K06

K06.0 Gingival recession

K06.1 Gingival enlargement

K06.2 Gingiva and edentulous alveolar ridge lesions associated with trauma ( denture hyperplasia)

K06.8 Other specified disorders of the gingiva and edentulous alveolar ridge

K06.9 Disease of the gingiva and edentulous alveolar ridge, unspecified

 

Dento-facial anomalies including malocclusion – K07

K07.0 Major anomalies of jaw size (condylar hyperplasia,macro/micro gnathism)

K07.1 Anomalies of jaw-cranial base relationship (Asmetries, severe CL2 & CL3)

K07.2 Anomalies of dental arch relationship

K07.3 Anomalies of tooth position

K07.4 Malocclusion, unspecified

K07.5 Dento-facial functional abnormalities (retained infantile swallow, habits)

K07.6 Temporo-mandibular joint disorders (dislocations, clicks, pain)

K07.8 Other dento-facial anomalies

K07.9 Dento-facial anomaly, Unspecified

 

Other disorders of the teeth and supporting structures K08

K08.0 Exfoliation of teeth due to systemic disorders (Hypophosphatasia, scurvy)

K08.1 Loss of teeth due to extraction, accident or local periodontal disease (Use for dentures, bridges, implants)

K08.2 Atrophy of edentulous alveolar ridge (Use for grafts)

K08.3 Retained dental root

K08.8 Other specified disorders of teeth and supporting structures

K08.9 Disorders of teeth and supporting structures, unspecified

 

Cysts of oral origin, not elsewhere classified K09

K09.0 Developmental odontogenic cysts

K09.1 Developmental (non-odontogenic) cysts of oral origin (naso-palatine)

K09.2 Other cysts of jaws (aneurismal bone cyst)

K09.8 Other cysts of oral region, not elsewhere classified (dermoid)

K09.9 Cysts of oral region, unspecified

 

Other diseases of jaws K10

Developmental disorders of jaws K10.0 (Tori)

Giant cell granuloma, central K10.1

Inflammatory conditions of jaws K10.2 (Osteomyelitis, sequestra)

Alveolitis of jaws K10.3 (Dry socket)

Other specified diseases of jaws K10.8

Disease of jaws, unspecified K10.9

 

Diseases of the salivary glands K11

K11.0 Atrophy of salivary gland

K11.1 Hypertrophy of salivary gland

K11.2 Sialoadenitis

K11.3 Abscess of salivary gland

K11.4 Fistula of salivary gland

K11.5 Sialolithiasis (salivary calculus)

K11.6 Mucocoele of salivary gland

K11.7 Disturbances of salivary secretion (Xerostoma)

K11.8 Other diseases of salivary glands (Miculicz’)

K11.9 Disease of salivary gland, unspecified

 

Stomatitis and related lesions K12

K12.0 Recurrent oral aphthae

K12.1 Other forms of stomatitis

K12.2 Cellulitis and abscess of mouth

 

Other diseases of the lip and oral mucosa K13

K13.0 Diseases of lips (Angular chelitis)

K13.1 Cheek and lip biting

K13.2 Leukoplakia and other disturbances of the oral epithelium, including tongue

K13.3 Hairy Leukoplakia

K13.4 Granuloma and granuloma-like lesions of oral mucosa ( pyogenic granuloma)

K13.5 Oral submucous fibrosis

K13.6 Irritative hyperplasia of oral mucosa

K13.7 Other and unspecified lesions of oral mucosa

 

Diseases of the tongue K14

K14.0 Glossitis (ulcer, abscess)

K14.1 Geographic Tongue

K14.2 Median Rhomboid Glossitis

K14.3 Hypertrophy of papillae (black hairy tongue)

K14.4 Atrophy of papillae

K14.5 Plicated tongue (scrotal, fissured)

K14.6 Glossodynia

K14.8 Other diseases of the tongue

K14.9 Disease of the tongue, unspecified

 

Miscellaneous codes

Note that items in blue indicate changes or additions.

Administration of local anaesthetic: Use the primary code for the procedure being done e.g. if for caries removal, use K02.1

• Z01.2 Dental examination
• K03.6 Deposits (accretions) on teeth – use for scaling and polishing
• Z29.8 Other specified prophylactic measures – use for fluoride treatment , fissure sealants, mouth guard
• S02.51/Y34.99 Fracture of tooth (broken tooth) includes fracture of enamel, crown, root and for insertion of post in root of a fractured tooth(Note that for this diagnosis two 5-character codes must be used, separated by a forward slash)
• S02.6 Fracture of mandible (requires a 5^th character:0 – closed or 1 – open)
• S03.21 Dislocation of tooth : luxation, extrusion or avulsion) (Note that this is a 5 character code plus an external cause code)

• T17 Foreign body in respiratory tract – (See 4 character codes in volume 1 or BHF disc for full list)

• T18 Foreign body in alimentary tract – (See 4 character codes in volume 1 or BHF disc for full list)

• Z46.3 Fitting and adjusting of dental prosthetic appliance (use for: recementation of crown/bridge, facing replacement/ Fractured repair/ease denture

• T81.0 Haemorrhage and haematoma complicating a procedure, not elsewhere specified

• Y48.3 (Reaction to) local anaesthetic
• Y61.0 Use for fractured endodontics instrument
• T88.8/Y88.29 Use for removal of fractured post, replacement of fractured filling in absence of caries
• T85.8 Use for implant insertion damaging inferior alveolar nerve
• Y60 Unintentional cut during surgical e.g.tongue/cheek laceration operation
• R20.8 Numbness of tongue or lip
• R20.2 Paraesthesia of tongue or lip
• Z53.2 Procedure not carried out because of patient’s decision for other and unspecified reasons Use for failed appointment
• Z48.0 Attention to surgical dressings and sutures (when original procedure done by other practitioner)
• Z46.4 Fitting + adjustment of orthodontic devices
• Z45.8 Adjustment + management of implanted devices
• § F45.8 Bruxism
• M25.58 Pain in TMJ
• J01.0 Acute Maxillary Sinusitis
• R20.2 Paraesthesia
• § K08.8 Toothache Use this only when diagnosis is not found elsewhere
• Y48.3 Complications from Local anaesthetic (must be preceded by a primary code
• T85.9 Unspecified complication of internal prosthetic device, implant and
• graft Use for surgical removal of failed implant
• Z29.2 Prophylactic antibiotic therapy
• Q38.0 Congenital malformation of lips NOS Use for lip frenectomy (not for cleft lip)
  • Q38.1 Ankyloglossia Use for tongue frenectomy
  • R06.5 for snoring device
  • S03.22/W01.99 Avulsed tooth from fall
  • Z41.8 Other procedures for purposes other than remedying health state Use e.g. for tooth whitening or patient requesting replacement of intact, non-carious amalgams with composite restorations.

• S03.21/Y04.28 Use for avulsed tooth resulting from fight at school. (In supplementary code: Y04 = assault by bodily force; .2 = at school;.-8 = during unspecified activity.

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