Chapter 9.

CDT Code to ICD (Diagnosis) Code Cross-

Walk
Introduction
Dentists, through education and experience, diagnose a patients oral health prior to treatment plan
preparation and delivery of necessary dental services. However, for diagnoses, codified clinical
documentation or reporting on a dental claim is not a routine activity. Change is afoot and your
colleagues on the ADA Council on Dental Benefit Programs offer a look ahead to help you prepare
for documenting and reporting diagnosis codes if and when required.

Both the ADA Dental Claim Form (2012American Dental Association) and the HIPAA standard
electronic dental claim transaction (837D v5010) are able to report up to four diagnosis codes. This
capability was added to the claim forms with the expectation that ICD (International Classification of
Diseases) would, at some point, become a required data element for dental claim adjudication.

Question Why should dentists be concerned with ICD codes when the ADA has developed
SNODENT?

SNODENT is a clinical terminology designed for use with electronic health records, and it differs
from ICD in three ways 1) it is an input code set; 2) it has broader scope and specificity; and 3) it
may be mapped to ICD as needed on a dental claim. Federal regulations published under the
auspices of HIPAAs Administrative Simplification provisions specify only ICD codes as valid on
claim submissions. Hence, this chapters focus is ICD.

Most diagnoses will be reported using an entry from the Diseases of Oral Cavity in ICD-10-CM
(K00 K14 series; see chapters Appendix for complete list). ICD-10-CM became the HIPAA
standard on October 1, 2015, and it is a code set maintained by federal government agencies and
available online at no cost.

Full file download:

http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html

Go to heading Downloads and select the calendar year code tables and index
(e.g., 2015 Code Tables and Index - Updated 11/13/14 [ZIP, 16MB]).

The downloaded zip file includes ICD-10-CM codes for Diseases and
Disorders in: 1) alphabetic order A-Z (index.pdf); and 2) numeric order
A00-Z99 (tabular.pdf).

Dentists and their staff are urged to familiarize themselves with the particulars of patients dental
benefits plans claim preparation and submission requirements. In addition, pay close attention to
communications from dental plans regarding additional benefits for services connected to
systemic health or about dental plans intentions to require diagnostic codes on dental claim
submissions.

SPECIAL NOTE: There is no immediate and universal mandate to include an ICD-10- CM

code on all dental claims. We emphasize that not all dental benefit plans will require reporting

diagnostic codes. You should check with the plan about its diagnostic code reporting
requirements. This Chapter simply augments the information within the CDT Companion to
help dentists prepare for future documentation requirements.

Dental Procedure Codes (CDT) and Diagnosis Codes

(ICD)
The following tables link frequently reported CDT codes with one or more possible ICD-10-CM
diagnosis codes. Please note that these tables, and especially their linkages, are not all inclusive
but simply serve as a guide for commonly occurring conditions.

Dentists, by virtue of their clinical education, experience and professional ethics, are the individuals
responsible for patient diagnosis. As such a dentist is also obligated to select the appropriate
diagnosis code for patient records and claim submission. With experience it is quite possible that
the diagnosis will be documented using other ICD-10-CM codes.

As you study these tables please note:

1. Some address a single CDT Code (e.g., sealant), and others include a suite of related (e.g.,
restorative) procedure codes.

2. Several contain suggested diagnosis codes that are not from the Diseases of the Oral
Cavity section ICD-10-CM; there are circumstances (e.g., vehicle accidents; workers
compensation) where other sections of the ICD code set has pertinent entries.

3. Some ICD code terms contain words that are not commonly used in the US. These words,
identified by an asterisk (*), are defined in the ADA online glossary

http://www.ada.org/en/publications/cdt/glossary-of-dental-clinical-and-administrative-ter

4. In some instances, commonly used CDT codes have not been linked to diagnosis codes.

E.g., oral evaluations and diagnostic imaging are not mapped to ICD codes since these
services are performed to enable diagnosis of the patients clinical condition.

5. This chapter is CDT Companion content that is subject to change in response to CDT Code
maintenance and ICD Code maintenance.

CDT Code(s)

D0120 periodic oral evaluation - established patient

D0140 limited oral evaluation - problem focused

D0150 comprehensive oral evaluation - new or established patient

D0210 intraoral complete series of radiographic images

D0220 intraoral periapical first radiographic image

D0230 intraoral periapical each additional radiographic image

D0251 extra-oral posterior dental radiographic image

D0272 bitewings two radiographic images

D0274 bitewings four radiographic images

D0330 panoramic radiographic image

D0999 unspecified diagnostic procedure, by report

Suggested ICD-10-CM Diagnosis Code(s)

Z01.20 Encounter for dental examination and cleaning without abnormal findings

Z01.21 Encounter for dental examination and cleaning with abnormal findings

CDT Code(s)

D1110 prophylaxis adult

D1120 prophylaxis child

Suggested ICD-10-CM Diagnosis Code(s)

E11.9 Type 2 diabetes mellitus without complications

K03.6 Deposits [accretions] on teeth

K05.1 Chronic gingivitis

K05.10 Chronic gingivitis; plaque induced

K05.3 Chronic periodontitis

Z72.0 Tobacco Use

Z33.1 Pregnant state; incidental

Z13.84 Encounter for screening for dental disorders

CDT Code(s)

D1206 topical application of fluoride varnish

D1208 topical application of fluoride, excluding varnish

Suggested ICD-10-CM Diagnosis Code(s)

K02.3 Arrested dental caries

K02.61 Dental caries on smooth surface limited to enamel

K02.7 Dental root caries

K03.1 Abrasion of teeth

K03.2 Erosion of teeth

M35.00 Sicca syndrome; unspecified

Z13.84 Encounter for screening for dental disorders

CDT Code(s)

D1330 oral hygiene instructions

Suggested ICD-10-CM Diagnosis Code(s)

E11.9 Type 2 diabetes mellitus without complications

K02.3 Arrested dental caries

K02.52 Dental caries on pit and fissure surface penetrating into dentine

K02.61 Dental caries limited to enamel

K02.62 Dental caries on smooth surface penetrating into dentine

K02.7 Dental caries of root surface

K02.9 Dental caries; unspecified

K03.2 Erosion of teeth

K05.5 Other periodontal diseases

M35.00 Sicca syndrome; unspecified

R43.00 Anosmia

R43.1 Parosmia

R43.2 Parageusia

Z33.1 Pregnant state; incidental

CDT Code(s)

D1351 sealant - per tooth

D1354 interim caries arresting medicament application

D2990 resin infiltration of incipient smooth surface lesions

Suggested ICD-10-CM Diagnosis Code(s)

K02.51 Dental caries on pit and fissure surface limited to enamel

K02.61 Dental caries on smooth surface limited to enamel

M35.00 Sicca syndrome*; unspecified

Z13.84 Encounter for screening for dental disorders

* also known as Sjgrens Syndrome

CDT Code(s)

D2140 amalgam - one surface; primary or permanent

D2150 amalgam - two surfaces; primary or permanent

D2160 amalgam - three surfaces; primary or permanent

D2161 amalgam - four or more surfaces; primary or permanent

Suggested ICD-10-CM Diagnosis Code(s)

K02.51 Dental caries on pit and fissure surface limited to enamel

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K02.61 Dental caries on smooth surface limited to enamel

K02.62 Dental caries on smooth surface penetrating into dentin

K03.81 Cracked tooth

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D1352 preventive resin restoration

Suggested ICD-10-CM Diagnosis Code(s)

K02.51 Dental caries on pit and fissure surface limited to enamel

CDT Code(s)

D2330 resin-based composite - one surface; anterior

D2331 resin-based composite - two surfaces; anterior

D2332 resin-based composite - three surfaces; anterior

D2335 resin-based composite - four or more surfaces or involving incisal angle (anterior)

Suggested ICD-10-CM Diagnosis Code(s)

K00.2 Abnormalities of size and form of teeth

K02.51 Dental caries on pit and fissure surface limited to enamel

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K02.61 Dental caries on smooth surface limited to enamel

K02.62 Dental caries on smooth surface penetrating into dentin

K03.1 Abrasion of teeth

K03.2 Erosion of teeth

K03.81 Cracked tooth

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D2391 resin-based composite - one surface; posterior

D2392 resin-based composite - two surfaces; posterior

D2393 resin-based composite - three surfaces; posterior

D2394 resin-based composite - four or more surfaces; posterior

Suggested ICD-10-CM Diagnosis Code(s)

K02.51 Dental caries on pit and fissure surface limited to enamel

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K02.61 Dental caries on smooth surface limited to enamel

K02.62 Dental caries on smooth surface penetrating into dentin

K02.7 Dental root caries

K03.1 Abrasion of teeth

K03.2 Erosion of teeth

K03.81 Cracked tooth

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D2740 crown - porcelain/ceramic substrate

D2750 crown - porcelain fused to high noble metal

D2751 crown - porcelain fused to predominantly base metal

D2752 crown - porcelain fused to noble metal

D2790 crown - full cast high noble metal

D2792 crown - full cast noble metal

D2950 core buildup; including any pins when required

D2951 pin retention - per tooth; in addition to restoration

D2952 post and core in addition to crown; indirectly fabricated

D2954 prefabricated post and core in addition to crown

Suggested ICD-10-CM Diagnosis Code(s)

K00.2 Abnormalities of size and form of teeth

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K03.53 Dental caries on pit and fissure surface penetrating into pulp

K02.62 Dental caries on smooth surface penetrating into dentin

K02.63 Dental caries on smooth surface penetrating into pulp

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

D2930 prefabricated stainless steel crown - primary tooth

Suggested ICD-10-CM Diagnosis Code(s)

K02.52 Dental caries on pit and fissure surface penetrating into dentine

K02.53 Dental caries on pit and fissure surface penetrating into pulp

K02.62 Dental caries on smooth surface penetrating into dentine

K02.63 Dental caries on smooth surface penetrating into pulp

S02.5XXA Fracture of tooth (traumatic), initial encounter for closed fracture

CDT Code(s)

D2940 protective restoration

Suggested ICD-10-CM Diagnosis Code(s)

K02.9 Dental caries; unspecified

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D3110 pulp cap - direct (excluding final restoration)

D3120 pulp cap - indirect (excluding final restoration)

Suggested ICD-10-CM Diagnosis Code(s)

K02.52 Dental caries on pit and fissure surface penetrating into dentin

K02.62 Dental caries on smooth surface penetrating into dentin

K02.63 Dental caries on smooth surface penetrating into pulp

K03.53 Dental caries on pit and fissure surface penetrating into pulp

K04.0 Pulpitis

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D3220 therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the
dentinocemental junction and application of medicament

D3310 endodontic therapy; anterior tooth (excluding final restoration)

D3320 endodontic therapy; bicuspid tooth (excluding final restoration)

D3330 endodontic therapy; molar (excluding final restoration)

Suggested ICD-10-CM Diagnosis Code(s)

K04.0 Pulpitis

K04.1 Necrosis of pulp

K04.5 Chronic apical periodontitis

K04.6 Periapical abscess with sinus

K04.7 Periapical abscess without sinus

K04.8 Radicular cyst

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D3346 retreatment of previous root canal therapy anterior

D3347 retreatment of previous root canal therapy bicuspid

D3348 retreatment of previous root canal therapy - molar

Suggested ICD-10-CM Diagnosis Code(s)

K08.59 Other unsatisfactory restoration of tooth

M27.5 Periradicular pathology associated with previous endodontic treatment

CDT Code(s)

D4210 gingivectomy or gingivoplasty four or more contiguous teeth or tooth bounded spaces per
quadrant
D4211 gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per
quadrant
Suggested ICD-10-CM Diagnosis Code(s)
K05.30 Chronic periodontitis; unspecified

K06.1 Gingival enlargement

CDT Code(s)

D4249 clinical crown lengthening - hard tissue

Suggested ICD-10-CM Diagnosis Code(s)

K02.9 Dental caries; unspecified

K06.1 Gingival enlargement

S02.5XXA Fracture of tooth (traumatic), initial encounter for closed fracture

CDT Code(s)

D4260 osseous surgery (including elevation of a full thickness flap and closure) four or more
contiguous teeth or tooth bounded spaces per quadrant
D4261 osseous surgery (including elevation of a full thickness flap and closure) one to three
contiguous teeth or tooth bounded spaces per quadrant
D4263 bone replacement graft - first site in quadrant

D4264 bone replacement graft each additional site in quadrant

Suggested ICD-10-CM Diagnosis Code(s)

K05.3 Chronic periodontitis

K05.6 Periodontal disease, unspecified

K08.20 Unspecified atrophy of edentulous alveolar ridge

CDT Code(s)

D4341 periodontal scaling and root planing - four or more teeth per quadrant

D4342 periodontal scaling and root planing - one to three teeth per quadrant

D4910 periodontal maintenance

Suggested ICD-10-CM Diagnosis Code(s)

E11.9 Type 2 diabetes mellitus without complications

K03.6 Deposits [accretions] on teeth

K05.20 Aggressive periodontitis; unspecified

K05.21 Aggressive periodontitis; localized

K05.3 Chronic periodontitis

Z72.0 Tobacco Use

Z33.1 Pregnant state; incidental

CDT Code(s)

D4355 full mouth debridement to enable comprehensive evaluation and diagnosis

Suggested ICD-10-CM Diagnosis Code(s)

K03.6 Deposits [accretions] on teeth

Z72.0 Tobacco Use

CDT Code(s)

D5110 complete denture - maxillary

D5120 complete denture mandibular

Suggested ICD-10-CM Diagnosis Code(s)

K08.1 Complete loss of teeth

CDT Code(s)

D5211 maxillary partial denture - resin base (including any conventional clasps, rests, and teeth)

D5213 maxillary partial denture - cast metal framework with resin denture bases (including any
conventional clasps; rests and teeth)
D5214 mandibular partial denture - cast metal framework with resin denture bases (including any
conventional clasps; rests and teeth)

D6010 surgical placement of implant body: endosteal implant

D6056 prefabricated abutment includes modification and placement

D6057 custom fabricated abutment includes placement

D6059 abutment supported porcelain fused to metal crown (high noble metal)

D6240 pontic - porcelain fused to high noble metal

D6750 retainer crown - porcelain fused to high noble metal

D6752 retainer crown - porcelain fused to noble metal

Suggested ICD-10-CM Diagnosis Code(s))

K08.4 Partial loss of teeth

CDT Code(s)

D7111 extraction; coronal remnants - deciduous tooth

D7250 surgical removal of residual tooth roots (cutting procedure)

Suggested ICD-10-CM Diagnosis Code(s) ICD-10-CM)

K03.9 Disease of hard tissues of teeth, unspecified

CDT Code(s)

D7140 extraction; erupted tooth or exposed root (elevation and/or forceps removal)

D7210 surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth; and
including elevation of mucoperiosteal flap if indicated
Suggested ICD-10-CM Diagnosis Code(s)

K02.53 Dental caries on pit and fissure surface penetrating into pulp

K02.63 Dental caries on smooth surface penetrating into pulp

K04.0 Pulpitis

K04.1 Necrosis of the pulp

K04.5 Chronic apical periodontitis

K04.6 Periapical abscess with sinus

K04.7 Periapical abscess without sinus

K04.8 Radicular cyst

K05.21 Aggressive periodontitis; localized

K05.3 Chronic periodontitis

K09.0 Developmental odontogenic cysts
S02.5XXA Fracture of tooth (traumatic), initial encounter for closed fracture

CDT Code(s)

D7220 removal of impacted tooth - soft tissue

D7230 removal of impacted tooth - partially bony

D7240 removal of impacted tooth - completely bony

Suggested ICD-10-CM Diagnosis Code(s)

K00.1 Supernumerary teeth

K01.1 Impacted teeth

K09.0 Developmental odontogenic cysts

CDT Code(s)

D7953 bone replacement graft for ridge preservation - per site

Suggested ICD-10-CM Diagnosis Code(s)

K02.63 Dental caries on smooth surface penetrating into pulp

K03.53 Dental caries on pit and fissure surface penetrating into pulp

K04.0 Pulpitis

K04.1 Necrosis of pulp

K04.5 Chronic apical periodontitis

K04.6 Periapical abscess with sinus

K04.7 Periapical abscess without sinus

K04.8 Radicular cyst

K05.21 Aggressive periodontitis; localized

K05.3 Chronic periodontitis

K09.0 Developmental odontogenic cysts

S02.5XXA Fracture of tooth (traumatic); initial encounter for closed fracture

CDT Code(s)

D8080 comprehensive orthodontic treatment

Suggested ICD-10-CM Diagnosis Code(s)

K00.0 Anodontia

K00.6 Disturbances in tooth eruption

K08.8 Other specified disorders of teeth and supporting structures

M26.212 Malocclusion; Angles class II

M26.213 Malocclusion; Angles class III

M26.24 Reverse articulation

M26.29 Other anomalies of dental arch relationship

M26.30 Unspecified anomaly of tooth position of fully erupted tooth or teeth

M26.31 Crowding of fully erupted teeth

M26.35 Rotation of fully erupted tooth or teeth

M26.39 Other anomalies of tooth position of fully erupted tooth or teeth

M26.4 Malocclusion; unspecified

M26.81 Anterior soft tissue impingement

M26.82 Posterior soft tissue impingement

M26.89 Other dentofacial anomalies

Q67.4 Other congenital deformities of skull; face; and jaw

CDT Code(s)

D9110 palliative (emergency) treatment of dental pain - minor procedure

Suggested ICD-10-CM Diagnosis Code(s)

K02.63 Dental caries on smooth surface penetrating into pulp

K03.53 Dental caries on pit and fissure surface penetrating into pulp

K04.0 Pulpitis

K04.6 Periapical abscess with sinus

K04.7 Periapical abscess without sinus

M26.60 Temporomandibular joint disorder; unspecified

M26.69 Other specified disorders of temporomandibular joint

CDT Code(s)

D9230 inhalation of nitrous oxide/anxiolysis, analgesia

Suggested ICD-10-CM Diagnosis Code(s)

F41.9 Anxiety disorder, unspecified

CDT Code(s)

D9910 application of desensitizing medicament

Suggested ICD-10-CM Diagnosis Code(s)

K03.0 Excessive attrition of teeth

K03.1 Abrasion of teeth

K03.2 Erosion of teeth

CDT Code(s)

D9940 occlusal guard, by report

Suggested ICD-10-CM Diagnosis Code(s)

F59 Unspecified behavioral syndromes associated with physiological disturbances and physical
factors

K03.0 Excessive attrition of teeth

M26.60 Temporomandibular joint disorder; unspecified

M26.69 Other specified disorders of temporomandibular joint

M26.89 Other dentofacial anomalies

CDT Code(s)

D9951 occlusal adjustment - limited

Suggested ICD-10-CM Diagnosis Code(s)

K03.0 Excessive attrition of teeth

K03.81 Cracked Tooth

K04.0 Pulpitis

K06.0 Gingival recession

M26.60 Temporomandibular joint disorder; unspecified

Appendix
ICD-10-CM: Diseases of the Oral Cavity and
Salivary Glands
INSTRUCTIONAL NOTATIONS
Includes:
The word 'Includes' appears immediately under certain categories to further define, or give examples of,
the content of the category.
Excludes Notes
The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are
both similar in that they indicate that codes excluded from each other are independent of each other.
Excludes1
A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note
indicates that the code excluded should never be used at the same time as the code above the
Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a
congenital form versus an acquired form of the same condition.
Excludes2
A type 2 excludes note represents 'Not included here'. An excludes2 note indicates that the
condition excluded is not part of the condition it is excluded from but a patient may have both
conditions at the same time. When an Excludes2 note appears under a code it is acceptable to
use both the code and the excluded code together.
Code Also
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing
of the two codes is discretionary, depending on the severity of the conditions and the reason for the
encounter.
7th characters and placeholder X
For codes less than 6 characters that require a 7th character a placeholder X should be assigned for all
characters less than 6. The 7th character must always be the 7th character of a code

K00 DISORDERS OF TOOTH DEVELOPMENT AND ERUPTION

Excludes2: embedded and impacted teeth (K01.-)
K00.0 Anodontia
Hypodontia
Oligodontia
Excludes1: acquired absence of teeth (K08.1-)
K00.1 Supernumerary teeth
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth
Excludes2: supernumerary roots (K00.2)
K00.2 Abnormalities of size and form of teeth
Concrescence of teeth
Fusion of teeth
Gemination of teeth
Dens evaginatus
Dens in dente
Dens invaginatus
Enamel pearls
Macrodontia
Microdontia
Peg-shaped [conical] teeth
Supernumerary roots
Taurodontism
Tuberculum paramolare
Excludes1: abnormalities of teeth due to congenital syphilis (A50.5)
tuberculum Carabelli, which is regarded as a normal variation and should not be coded

K00.3 Mottled teeth

Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excludes2: deposits [accretions] on teeth (K03.6)
K00.4 Disturbances in tooth formation
Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal) (postnatal) (prenatal)
Regional odontodysplasia
Turners tooth
Excludes1: Hutchinsons teeth and mulberry molars in congenital syphilis (A50.5)
Excludes2: mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
Amelogenesis imperfect
Dentinogenesis imperfecta
Odontogenesis imperfect
Dentinal dysplasia
Shell teeth
K00.6 Disturbances in tooth eruption
Dentia praecox
Natal tooth

Neonatal tooth
Premature eruption of tooth
Premature shedding of primary [deciduous] tooth
Prenatal teeth
Retained [persistent] primary tooth
Excludes2: embedded and impacted teeth (K01.-)
K00.7 Teething syndrome
K00.8 Other disorders of tooth development
Color changes during tooth formation
Intrinsic staining of teeth NOS
Excludes2: posteruptive color changes (K03.7)
K00.9 Disorder of tooth development, unspecified
Disorder of odontogenesis NOS
K01 EMBEDDED AND IMPACTED TEETH
Excludes1: abnormal position of fully erupted teeth (M26.3-)
K01.0 Embedded teeth
K01.1 Impacted teeth

K02 DENTAL CARIES

Includes: dental cavities
tooth decay
K02.3 Arrested dental caries
Arrested coronal and root caries
K02.5 Dental caries on pit and fissure surface
Dental caries on chewing surface of tooth
K02.51 Dental caries on pit and fissure surface limited to enamel
White spot lesions [initial caries] on pit and fissure surface of tooth
K02.52 Dental caries on pit and fissure surface penetrating into dentin
K02.53 Dental caries on pit and fissure surface penetrating into pulp
K02.6 Dental caries on smooth surface
K02.61 Dental caries on smooth surface limited to enamel
White spot lesions [initial caries] on smooth surface of tooth
K02.62 Dental caries on smooth surface penetrating into dentin
K02.63 Dental caries on smooth surface penetrating into pulp

K02.7 Dental root caries

K02.9 Dental caries, unspecified

K03 OTHER DISEASES OF HARD TISSUES OF TEETH

Excludes2: bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)
K03.0 Excessive attrition of teeth
Approximal wear of teeth
Occlusal wear of teeth
K03.1 Abrasion of teeth
Dentifrice abrasion of teeth
Habitual abrasion of teeth
Occupational abrasion of teeth
Ritual abrasion of teeth

Traditional abrasion of teeth

Wedge defect NOS
K03.2 Erosion of teeth
Erosion of teeth due to diet
Erosion of teeth due to drugs and medicaments
Erosion of teeth due to persistent vomiting
Erosion of teeth NOS
Idiopathic erosion of teeth
Occupational erosion of teeth
K03.3 Pathological resorption of teeth
Internal granuloma of pulp
Resorption of teeth (external)
K03.4 Hypercementosis
Cementation hyperplasia
K03.5 Ankylosis of teeth
K03.6 Deposits [accretions] on teeth
Betel deposits [accretions] on teeth
Black deposits [accretions] on teeth
Extrinsic staining of teeth NOS
Green deposits [accretions] on teeth
Materia alba deposits [accretions] on teeth
Orange deposits [accretions] on teeth
Staining of teeth NOS
Subgingival dental calculus
Supragingival dental calculus
Tobacco deposits [accretions] on teeth
K03.7 Posteruptive color changes of dental hard tissues
Excludes2: deposits [accretions] on teeth (K03.6)
K03.8 Other specified diseases of hard tissues of teeth
K03.81 Cracked tooth
Excludes1: asymptomatic craze lines in enamel - omit code
broken or fractured tooth due to trauma (S02.5)
K03.89 Other specified diseases of hard tissues of teeth

K03.9 Disease of hard tissues of teeth, unspecified

K04 DISEASES OF PULP AND PERIAPICAL TISSUES

K04.0 Pulpitis
Acute pulpitis
Chronic (hyperplastic) (ulcerative) pulpitis
Irreversible pulpitis
Reversible pulpitis
K04.1 Necrosis of pulp
Pulpal gangrene
K04.2 Pulp degeneration
Denticles
Pulpal calcifications
Pulpal stones
K04.3 Abnormal hard tissue in pulp
Secondary or irregular dentine

K04.4 Acute apical periodontitis of pulpal origin

Acute apical periodontitis NOS
Excludes1: acute periodontitis (K05.2-)
K04.5 Chronic apical periodontitis
Apical or periapical granuloma
Apical periodontitis NOS
Excludes1: chronic periodontitis (K05.3-)
K04.6 Periapical abscess with sinus
Dental abscess with sinus
Dentoalveolar abscess with sinus
K04.7 Periapical abscess without sinus
Dental abscess without sinus
Dentoalveolar abscess without sinus
Periapical abscess without sinus
K04.8 Radicular cyst
Apical (periodontal) cyst
Periapical cyst
Residual radicular cyst
Excludes2: lateral periodontal cyst (K09.0)
K04.9 Other and unspecified diseases of pulp and periapical tissues
K04.90 Unspecified diseases of pulp and periapical tissues
K04.99 Other diseases of pulp and periapical tissues

K05 GINGIVITIS AND PERIODONTAL DISEASES

Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
K05.0 Acute gingivitis
Excludes1: acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
K05.00 Acute gingivitis, plaque induced
Acute gingivitis NOS
K05.01 Acute gingivitis, non-plaque induced
K05.1 Chronic gingivitis
Desquamative gingivitis (chronic)
Gingivitis (chronic) NOS
Hyperplastic gingivitis (chronic)
Simple marginal gingivitis (chronic)
Ulcerative gingivitis (chronic)
K05.10 Chronic gingivitis, plaque induced
Chronic gingivitis NOS
Gingivitis NOS
K05.11 Chronic gingivitis, non-plaque induced
K05.2 Aggressive periodontitis
Acute pericoronitis
Excludes1: acute apical periodontitis (K04.4)
periapical abscess (K04.7)

periapical abscess with sinus (K04.6)

K05.20 Aggressive periodontitis, unspecified
K05.21 Aggressive periodontitis, localized
Periodontal abscess
K05.22 Aggressive periodontitis, generalized
K05.3 Chronic periodontitis
Chronic pericoronitis
Complex periodontitis
Periodontitis NOS
Simplex periodontitis
Excludes1: chronic apical periodontitis (K04.5)
K05.30 Chronic periodontitis, unspecified
K05.31 Chronic periodontitis, localized
K05.32 Chronic periodontitis, generalized
K05.4 Periodontosis
Juvenile periodontosis
K05.5 Other periodontal diseases
Excludes2: leukoplakia of gingiva (K13.21)
K05.6 Periodontal disease, unspecified

K06 OTHER DISORDERS OF GINGIVA AND EDENTULOUS ALVEOLAR RIDGE

Excludes2: acute gingivitis (K05.0)
atrophy of edentulous alveolar ridge (K08.2)
chronic gingivitis (K05.1)
gingivitis NOS (K05.1)
K06.0 Gingival recession
Gingival recession (generalized) (localized) (postinfective) (postprocedural)
K06.1 Gingival enlargement
Gingival fibromatosis
K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
Use additional code (Chapter 20) to identify external cause or denture status (Z97.2)

K06.8 Other specified disorders of gingiva and edentulous alveolar ridge

Fibrous epulis
Flabby alveolar ridge
Giant cell epulis
Peripheral giant cell granuloma of gingiva
Pyogenic granuloma of gingiva
Excludes2: gingival cyst (K09.0)
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified

K08 OTHER DISORDERS OF TEETH AND SUPPORTING STRUCTURES

Excludes2: dentofacial anomalies [including malocclusion] (M26.-)
disorders of jaw (M27.-)
K08.0 Exfoliation of teeth due to systemic causes
Code also underlying systemic condition
K08.1 Complete loss of teeth
Acquired loss of teeth, complete
Excludes1: congenital absence of teeth (K00.0)
exfoliation of teeth due to systemic causes (K08.0)

partial loss of teeth (K08.4-)

K08.10 Complete loss of teeth, unspecified cause
K08.101 Complete loss of teeth, unspecified cause, class I
K08.102 Complete loss of teeth, unspecified cause, class II
K08.103 Complete loss of teeth, unspecified cause, class III
K08.104 Complete loss of teeth, unspecified cause, class IV
K08.109 Complete loss of teeth, unspecified cause, unspecified class
Edentulism NOS
K08.11 Complete loss of teeth due to trauma
K08.111 Complete loss of teeth due to trauma, class I
K08.112 Complete loss of teeth due to trauma, class II
K08.113 Complete loss of teeth due to trauma, class III
K08.114 Complete loss of teeth due to trauma, class IV
K08.119 Complete loss of teeth due to trauma, unspecified class
K08.12 Complete loss of teeth due to periodontal diseases
K08.121 Complete loss of teeth due to periodontal diseases, class I
K08.122 Complete loss of teeth due to periodontal diseases, class II
K08.123 Complete loss of teeth due to periodontal diseases, class III
K08.124 Complete loss of teeth due to periodontal diseases, class IV
K08.129 Complete loss of teeth due to periodontal diseases, unspecified class
08.13 Complete loss of teeth due to caries
K08.131 Complete loss of teeth due to caries, class I
K08.132 Complete loss of teeth due to caries, class II
K08.133 Complete loss of teeth due to caries, class III
K08.134 Complete loss of teeth due to caries, class IV
K08.139 Complete loss of teeth due to caries, unspecified class
K08.19 Complete loss of teeth due to other specified cause
K08.191 Complete loss of teeth due to other specified cause, class I
K08.192 Complete loss of teeth due to other specified cause, class II
K08.193 Complete loss of teeth due to other specified cause, class III
K08.194 Complete loss of teeth due to other specified cause, class IV
K08.199 Complete loss of teeth due to other specified cause, unspecified class
K08.2 Atrophy of edentulous alveolar ridge
K08.20 Unspecified atrophy of edentulous alveolar ridge
Atrophy of the mandible NOS
Atrophy of the maxilla NOS
K08.21 Minimal atrophy of the mandible
Minimal atrophy of the edentulous mandible
K08.22 Moderate atrophy of the mandible
Moderate atrophy of the edentulous mandible
K08.23 Severe atrophy of the mandible
Severe atrophy of the edentulous mandible
K08.24 Minimal atrophy of maxilla
Minimal atrophy of the edentulous maxilla
K08.25 Moderate atrophy of the maxilla
Moderate atrophy of the edentulous maxilla
K08.26 Severe atrophy of the maxilla
Severe atrophy of the edentulous maxilla
K08.3 Retained dental root
K08.4 Partial loss of teeth
Acquired loss of teeth, partial
Excludes1: complete loss of teeth (K08.1-)
congenital absence of teeth (K00.0)
Excludes2: exfoliation of teeth due to systemic causes (K08.0)
K08.40 Partial loss of teeth, unspecified cause

K08.401 Partial loss of teeth, unspecified cause, class I

K08.402 Partial loss of teeth, unspecified cause, class II
K08.403 Partial loss of teeth, unspecified cause, class III
K08.404 Partial loss of teeth, unspecified cause, class IV
K08.409 Partial loss of teeth, unspecified cause, unspecified class
Tooth extraction status NOS
K08.41 Partial loss of teeth due to trauma
K08.411 Partial loss of teeth due to trauma, class I
K08.412 Partial loss of teeth due to trauma, class II
K08.413 Partial loss of teeth due to trauma, class III
K08.414 Partial loss of teeth due to trauma, class IV
K08.419 Partial loss of teeth due to trauma, unspecified class
K08.42 Partial loss of teeth due to periodontal diseases
K08.421 Partial loss of teeth due to periodontal diseases, class I
K08.422 Partial loss of teeth due to periodontal diseases, class II
K08.423 Partial loss of teeth due to periodontal diseases, class III
K08.424 Partial loss of teeth due to periodontal diseases, class IV
K08.429 Partial loss of teeth due to periodontal diseases, unspecified class
K08.43 Partial loss of teeth due to caries
K08.431 Partial loss of teeth due to caries, class I
K08.432 Partial loss of teeth due to caries, class II
K08.433 Partial loss of teeth due to caries, class III
K08.434 Partial loss of teeth due to caries, class IV
K08.439 Partial loss of teeth due to caries, unspecified class
K08.49 Partial loss of teeth due to other specified cause
K08.491 Partial loss of teeth due to other specified cause, class I
K08.492 Partial loss of teeth due to other specified cause, class II
K08.493 Partial loss of teeth due to other specified cause, class III
K08.494 Partial loss of teeth due to other specified cause, class IV
K08.499 Partial loss of teeth due to other specified cause, unspecified class
K08.5 Unsatisfactory restoration of tooth
Defective bridge, crown, filling
Defective dental restoration
Excludes1: dental restoration status (Z98.811)
Excludes2: endosseous dental implant failure (M27.6-)
unsatisfactory endodontic treatment (M27.5-)
K08.50 Unsatisfactory restoration of tooth, unspecified
Defective dental restoration NOS
K08.51 Open restoration margins of tooth
Dental restoration failure of marginal integrity
Open margin on tooth restoration
Poor gingival margin to tooth restoration
K08.52 Unrepairable overhanging of dental restorative materials
Overhanging of tooth restoration
K08.53 Fractured dental restorative material
Excludes1: cracked tooth (K03.81)
traumatic fracture of tooth (S02.5)
K08.530 Fractured dental restorative material without loss of material
K08.531 Fractured dental restorative material with loss of material
K08.539 Fractured dental restorative material, unspecified
K08.54 Contour of existing restoration of tooth biologically incompatible with oral health
Dental restoration failure of periodontal anatomical integrity
Unacceptable contours of existing restoration of tooth
Unacceptable morphology of existing restoration of tooth
K08.55 Allergy to existing dental restorative material

Use additional code to identify the specific type of allergy

K08.56 Poor aesthetic of existing restoration of tooth
Dental restoration aesthetically inadequate or displeasing
K08.59 Other unsatisfactory restoration of tooth
Other defective dental restoration
K08.8 Other specified disorders of teeth and supporting structures
Enlargement of alveolar ridge NOS
Irregular alveolar process
Toothache NOS
K08.9 Disorder of teeth and supporting structures, unspecified

K09 CYSTS OF ORAL REGION, NOT ELSEWHERE CLASSIFIED

Includes: lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion
Excludes2: cysts of jaw (M27.0-, M27.4-)
radicular cyst (K04.8)
K09.0 Developmental odontogenic cysts
Dentigerous cyst
Eruption cyst
Follicular cyst
Gingival cyst
Lateral periodontal cyst
Primordial cyst
Excludes2: keratocysts (D16.4, D16.5)
odontogenic keratocystic tumors (D16.4, D16.5)
K09.1 Developmental (nonodontogenic) cysts of oral region
Cyst (of) incisive canal
Cyst (of) palatine of papilla
Globulomaxillary cyst
Median palatal cyst
Nasoalveolar cyst
Nasolabial cyst
Nasopalatine duct cyst
K09.8 Other cysts of oral region, not elsewhere classified
Dermoid cyst
Epidermoid cyst
Lymphoepithelial cyst
Epsteins pearl
K09.9 Cyst of oral region, unspecified

K11 DISEASES OF SALIVARY GLANDS

Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
K11.0 Atrophy of salivary gland
K11.1 Hypertrophy of salivary gland
K11.2 Sialoadenitis
Parotitis
Excludes1: epidemic parotitis (B26.-)
mumps (B26.-)

uveoparotid fever [Heerfordt] (D86.89)

K11.20 Sialoadenitis, unspecified
K11.21 Acute sialoadenitis
Excludes1: acute recurrent sialoadenitis (K11.22)
K11.22 Acute recurrent sialoadenitis
K11.23 Chronic sialoadenitis
K11.3 Abscess of salivary gland
K11.4 Fistula of salivary gland
Excludes1: congenital fistula of salivary gland (Q38.4)
K11.5 Sialolithiasis
Calculus of salivary gland or duct
Stone of salivary gland or duct
K11.6 Mucocele of salivary gland
Mucous extravasation cyst of salivary gland
Mucous retention cyst of salivary gland
Ranula
K11.7 Disturbances of salivary secretion
Hypoptyalism
Ptyalism
Xerostomia
Excludes2: dry mouth NOS (R68.2)
K11.8 Other diseases of salivary glands
Benign lymphoepithelial lesion of salivary gland
Mikulicz disease
Necrotizing sialometaplasia
Sialectasia
Stenosis of salivary duct
Stricture of salivary duct
Excludes1: sicca syndrome [Sjgren] (M35.0-)
K11.9 Disease of salivary gland, unspecified
Sialoadenopathy NOS

K12 STOMATITIS AND RELATED LESIONS

Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1: cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)
K12.0 Recurrent oral aphthae
Aphthous stomatitis (major) (minor)
Bednars aphthae
Periadenitis mucosa necrotica recurrens

Recurrent aphthous ulcer

Stomatitis herpetiformis
K12.1 Other forms of stomatitis
Stomatitis NOS
Denture stomatitis
Ulcerative stomatitis
Vesicular stomatitis
Excludes1: acute necrotizing ulcerative stomatitis (A69.1)
Vincents stomatitis (A69.1)
K12.2 Cellulitis and abscess of mouth
Cellulitis of mouth (floor)
Submandibular abscess
Excludes2: abscess of salivary gland (K11.3)
abscess of tongue (K14.0)
periapical abscess (K04.6-K04.7)
periodontal abscess (K05.21)
peritonsillar abscess (J36)
K12.3 Oral mucositis (ulcerative)
Mucositis (oral) (oropharyneal)
Excludes2: gastrointestinal mucositis (ulcerative) (K92.81)
mucositis (ulcerative) of vagina and vulva (N76.81)
nasal mucositis (ulcerative) (J34.81)
K12.30 Oral mucositis (ulcerative), unspecified
K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy
Use additional code for adverse effect, if applicable, to identify antineoplastic and
immunosuppressive drugs (T45.1X5)
Use additional code for other antineoplastic therapy, such as: radiological procedure and
radiotherapy (Y84.2)
K12.32 Oral mucositis (ulcerative) due to other drugs
Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth
or sixth character 5)
K12.33 Oral mucositis (ulcerative) due to radiation
Use additional external cause code (W88-W90, X39.0-) to identify cause
K12.39 Other oral mucositis (ulcerative)
Viral oral mucositis (ulcerative)

K13 OTHER DISEASES OF LIP AND ORAL MUCOSA

Includes: epithelial disturbances of tongue
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2: certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)
K13.0 Diseases of lips
Abscess of lips
Angular cheilitis

Cellulitis of lips
Cheilitis NOS
Cheilodynia
Cheilosis
Exfoliative cheilitis
Fistula of lips
Glandular cheilitis
Hypertrophy of lips
Perlche NEC
Excludes1: ariboflavinosis (E53.0)
cheilitis due to radiation-related disorders (L55-L59)
congenital fistula of lips (Q38.0)
congenital hypertrophy of lips (Q18.6)
Perlche due to candidiasis (B37.83)
Perlche due to riboflavin deficiency (E53.0)
K13.1 Cheek and lip biting
K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue
Excludes1: carcinoma in situ of oral epithelium (D00.0-)
hairy leukoplakia (K13.3)
K13.21 Leukoplakia of oral mucosa, including tongue
Leukokeratosis of oral mucosa
Leukoplakia of gingiva, lips, tongue
Excludes1: hairy leukoplakia (K13.3)
leukokeratosis nicotina palati (K13.24)
K13.22 Minimal keratinized residual ridge mucosa
Minimal keratinization of alveolar ridge mucosa
K13.23 Excessive keratinized residual ridge mucosa
Excessive keratinization of alveolar ridge mucosa
K13.24 Leukokeratosis nicotina palati
Smokers palate
K13.29 Other disturbances of oral epithelium, including tongue
Erythroplakia of mouth or tongue
Focal epithelial hyperplasia of mouth or tongue
Leukoedema of mouth or tongue
Other oral epithelium disturbances

K13.3 Hairy leukoplakia

K13.4 Granuloma and granuloma-like lesions of oral mucosa

Eosinophilic granuloma
Granuloma pyogenicum
Verrucous xanthoma
K13.5 Oral submucous fibrosis
Submucous fibrosis of tongue
K13.6 Irritative hyperplasia of oral mucosa
Excludes2: irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)
K13.7 Other and unspecified lesions of oral mucosa
K13.70 Unspecified lesions of oral mucosa
K13.79 Other lesions of oral mucosa
Focal oral mucinosis

K14 DISEASES OF TONGUE

Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2: erythroplakia (K13.29)
focal epithelial hyperplasia (K13.29)
leukedema of tongue (K13.29)
leukoplakia of tongue (K13.21)
hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)
K14.0 Glossitis
Abscess of tongue
Ulceration (traumatic) of tongue
Excludes1: atrophic glossitis (K14.4)
K14.1 Geographic tongue
Benign migratory glossitis
Glossitis areata exfoliativa
K14.2 Median rhomboid glossitis
K14.3 Hypertrophy of tongue papillae
Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra
K14.4 Atrophy of tongue papillae
Atrophic glossitis
K14.5 Plicated tongue
Fissured tongue
Furrowed tongue
Scrotal tongue
Excludes1: fissured tongue, congenital (Q38.3)
K14.6 Glossodynia
Glossopyrosis
Painful tongue

K14.8 Other diseases of tongue

Atrophy of tongue
Crenated tongue
Enlargement of tongue
Glossocele
Glossoptosis
Hypertrophy of tongue
K14.9 Disease of tongue, unspecified
Glossopathy NOS