MCMedicalCodingSoftware
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

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K04.0

2 child codes. Green means billable.

Other codes under K04

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.