K04.0
K04.0 — Pulpitis
Non-billable headerICD-10-CM
K04.0 is a non-billable header ICD-10-CM code for pulpitis. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute pulpitis
- Chronic (hyperplastic) (ulcerative) pulpitis
Risk adjustment
K04.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead K04.0
2 child codes. Green means billable.
Related codes at this level
Codes that share K04. If K04.0 is not quite right, the correct code is usually one of these.
- K04.1Necrosis of pulp
- K04.2Pulp degeneration
- K04.3Abnormal hard tissue formation in pulp
- K04.4Acute apical periodontitis of pulpal origin
- K04.5Chronic apical periodontitis
- K04.6Periapical abscess with sinus
- K04.7Periapical abscess without sinus
- K04.8Radicular cyst
- K04.9Other and unspecified diseases of pulp and periapical tissues
Questions about K04.0
- Is K04.0 a billable ICD-10-CM code?
- No. K04.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K04.0 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).