K04.9
K04.9 — Other and unspecified diseases of pulp and periapical tissues
Non-billable headerICD-10-CM
K04.9 is a non-billable header ICD-10-CM code for other and unspecified diseases of pulp and periapical tissues. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
K04.9 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 K04.9
2 child codes. Green means billable.
Related codes at this level
Codes that share K04. If K04.9 is not quite right, the correct code is usually one of these.
Questions about K04.9
- Is K04.9 a billable ICD-10-CM code?
- No. K04.9 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K04.9 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).