Is K04.02 a billable ICD-10-CM code?

Yes. K04.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K04.02 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).

K04.02

K04.02 — Irreversible pulpitis

Billable / specific codeICD-10-CM

K04.02 is a billable, specific ICD-10-CM code for irreversible pulpitis. It is valid for submission on a claim.

Risk adjustment

K04.02 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.

How K04.02 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K04.02.

Endodontitis›irreversible
Odontomyelitis›irreversible
Pulpitis›irreversible
Abscess›pulp, pulpal›irreversible
Polyp, polypus›dental›irreversible
Polyp, polypus›pulpal›irreversible
Infection, infected, infective›tooth, teeth›pulp›irreversible

Related codes at this level

Codes that share K04.0. If K04.02 is not quite right, the correct code is usually one of these.

K04.01Reversible pulpitis

Questions about K04.02

Is K04.02 a billable ICD-10-CM code?: Yes. K04.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K04.02 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).