Infection Tooth ICD-10-CM Codes

Infection Tooth ICD-10-CM Codes

Explore billable ICD-10-CM codes for tooth infections like periapical abscesses, pulpitis, necrosis, and causes, symptoms, and treatments.

By Wynona Jugueta on Jul 16, 2025.

Fact Checked by Gale Alagos.

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What are Infection Tooth ICD-10-CM Codes?

If you're searching for infection tooth ICD-10-CM codes, you may find it tricky because they aren’t labeled directly as “tooth infection.” Instead, they're listed under conditions involving pulp and sinus periapical abscess tissues, oral cavity infections, cellulitis, and sinus dentoalveolar abscess-related digestive system diseases. This guide helps you identify accurate codes for dentoalveolar abscess, periodontal abscess, and related lesions.

Below are some of the most relevant ICD-10-CM codes for tooth infections:

  • K04.7 - Periapical abscess without sinus: This code is used when a periapical abscess forms at the tip of the tooth root without creating a drainage path (sinus tract). This dentoalveolar abscess results from bacterial invasion through cavities or cracks, affecting the periapical tissues and potentially causing cellulitis of the mouth floor if untreated.
  • K04.6 - Periapical abscess with sinus: This code applies when a periapical abscess creates a sinus tract, typically leading to pus drainage into the oral cavity. If untreated, this periapical abscess with sinus can lead to mouth cellulitis, salivary gland infection, or submandibular abscess.
  • K04.01 - Reversible pulpitis: This code refers to pulpal origin inflammation that is treatable and doesn’t involve permanent pulp degeneration. It's often caused by early-stage cavities or tooth trauma. The pulp includes connective tissue, nerves, and blood vessels.
  • K04.02 - Irreversible pulpitis: In this stage, the pulp inflammation is severe and irreversible. If not addressed, it can lead to pulp necrosis, abscess of mouth, or radicular cyst formation due to infected periapical tissues and related oral epithelium breakdown.
  • K04.1 - Necrosis of pulp: This code refers to the death of pulp tissue, often caused by longstanding acute apical periodontitis, trauma, or untreated infection of tooth conditions. It frequently precedes a dental abscess.
  • K04.2 - Pulp degeneration: This refers to gradual degeneration of the pulp structure, often due to repeated dental trauma, aging, or untreated infection. Degeneration weakens the tooth root and surrounding abnormal hard tissue formation, potentially leading to abscesses.

Are these infection tooth ICD 10 codes billable?

Yes! Each of these ICD-10-CM codes is considered valid and billable for insurance and medical documentation. They fall under the broader category of digestive system diseases, particularly disorders affecting the pulp and periapical tissues.

Clinical information

An infected tooth, a dental abscess, typically results from bacterial intrusion through decay, trauma, or cracks in the oral cavity. These infections can lead to a periapical abscess, periodontal abscess, or abscess of the salivary gland, depending on the infection site.

Left untreated, these can spread, causing:

  • Cellulitis and abscess formation
  • Submandibular abscess
  • Gangrenous stomatitis
  • Peritonsillar abscess
  • Radiation-induced oral mucositis
  • Severe herpes simplex complications or lip biting leukoplakia

Some rare cases may also involve congenital fistula, atrophic glossitis, or other unspecified diseases and other specified disorders of the oral mucosa and related lesions.

Synonyms include

  • Dental abscess
  • Gingival abscess
  • Infection of tooth
  • Migratory dental abscess
  • Periapical abscess
  • Periapical abscess with facial involvement
  • Periapical abscess with sinus tract
  • Asymptomatic reversible pulpitis
  • Chronic hyperplastic pulpitis
  • Pulpal abscess

Related ICDs

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