K04.6

K04.6: Periapical abscess with sinus

Billable / specific codeICD-10-CM

K04.6 is a billable, specific ICD-10-CM code for periapical abscess with sinus. It is valid for submission on a claim.

Check K04.6 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Dental abscess with sinus
Dentoalveolar abscess with sinus

Other codes that can never be billed with K04.6

Their own Excludes1 notes name this code, so the conflict is not listed above.

K05.2Aggressive periodontitis

Risk adjustment

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

Alphabetic index entries that lead here

Fistula›alveolar process
Fistula›dental
Fistula›from periapical abscess
Gumboil›with sinus
Parulis›with sinus
Sinus›dental
Abscess›alveolar›with sinus
Abscess›apical›with sinus(alveolar)
Abscess›dental›with sinus(alveolar)
Abscess›dentoalveolar›with sinus
Abscess›lateral›with sinus
Abscess›periapical›with sinus(alveolar)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K04