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Chapter XI  Natal

Diseases of the digestive system  tooth


 Neonatal
(K00-K93)
Diseases of oral cavity, salivary glands and jaws
(K00-K14) Premature:
K00Disorders of tooth development and eruption  eruption of tooth
Excl.:  shedding of primary [deciduous]
embedded and impacted teeth (K01.-) tooth
K00.0Anodontia
Hypodontia
Retained [persistent] primary tooth
Oligodontia
K00.7Teething syndrome
K00.1Supernumerary teeth
K00.8Other disorders of tooth development
Distomolar
Colour changes during tooth formation
Fourth molar
Intrinsic staining of teeth NOS
Mesiodens
K00.9Disorder of tooth development, unspecified
Paramolar
Disorder of odontogenesis NOS
Supplementary teeth
K01Embedded and impacted teeth
K00.2Abnormalities of size and form of teeth
Excl.:
 Concrescence embedded and impacted teeth with abnormal
 Fusion  of teeth position of such teeth or adjacent teeth (K07.3)
 Gemination K01.0Embedded teeth
An embedded tooth is a tooth that has failed to
erupt without obstruction by another tooth.
Dens:
 evaginatus
K01.1Impacted teeth
 in dente An impacted tooth is a tooth that has failed to
 invaginatus erupt because of obstruction by another tooth.

Enamel pearls K02Dental caries


Macrodontia K02.0Caries limited to enamel
Microdontia White spot lesions [initial caries]
Peg-shaped [conical] teeth K02.1Caries of dentine
Taurodontism K02.2Caries of cementum
Tuberculum paramolare K02.3Arrested dental caries
Excl.: K02.4Odontoclasia
tuberculum Carabelli, which is regarded as a Infantile melanodontia
normal variation and should not be coded Melanodontoclasia
K00.3Mottled teeth K02.5Caries with pulp exposure
Dental fluorosis K02.8Other dental caries
Mottling of enamel K02.9Dental caries, unspecified
Nonfluoride enamel opacities K03Other diseases of hard tissues of teeth
Excl.: Excl.:
deposits [accretions] on teeth (K03.6) bruxism (F45.8)
K00.4Disturbances in tooth formation dental caries (K02.-)
Aplasia and hypoplasia of cementum teeth-grinding NOS (F45.8)
Dilaceration of tooth K03.0Excessive attrition of teeth
Enamel hypoplasia  Wear:
(neonatal)(postnatal)(prenatal)
Regional odontodysplasia
 approximal  of teeth
Turner tooth  occlusal
Excl.:
Hutchinson teeth and mulberry molars in K03.1Abrasion of teeth
congenital syphilis (A50.5)
 Abrasion:
mottled teeth (K00.3)
K00.5Hereditary disturbances in tooth structure, not  dentifrice
elsewhere classified  habitual
 Amelogenesis  occupational  of teeth
 Dentinogenesis  imperfecta  ritual
 Odontogenesis  traditional
 Wedge defect NOS
Dentinal dysplasia
Shell teeth K03.2Erosion of teeth
K00.6Disturbances in tooth eruption Erosion of teeth:
Dentia praecox  NOS
 due to:
o diet K04.5Chronic apical periodontitis
o drugs and medicaments Apical or periapical granuloma
o persistent vomiting Apical periodontitis NOS
 idiopathic K04.6Periapical abscess with sinus
 occupational  Dental
 abscess with sinus
 Dentoalveolar
K03.3Pathological resorption of teeth
Internal granuloma of pulp K04.7Periapical abscess without sinus
Resorption of teeth (external)
K03.4Hypercementosis  Dental
Cementation hyperplasia  Dentoalveolar  abscess NOS
K03.5Ankylosis of teeth  Periapical
K03.6Deposits [accretions] on teeth
Dental calculus:
K04.8Radicular cyst
 subgingival Cyst:
 supragingival  apical (periodontal)
 periapical
Deposits [accretions] on teeth:  residual radicular
 betel
 black Excl.:
 green lateral periodontal cyst (K09.0)
 materia alba K04.9Other and unspecified diseases of pulp and
 orange periapical tissues
 tobacco K05Gingivitis and periodontal diseases
K05.0Acute gingivitis
Excl.:
Staining of teeth: acute necrotizing ulcerative gingivitis (A69.1)
 NOS herpesviral [herpes simplex] gingivostomatitis
 extrinsic NOS (B00.2)
K05.1Chronic gingivitis
K03.7Posteruptive colour changes of dental hard Gingivitis (chronic):
tissues  NOS
Excl.:  desquamative
deposits [accretions] on teeth (K03.6)  hyperplastic
K03.8Other specified diseases of hard tissues of teeth  simple marginal
Irradiated enamel
 ulcerative
Sensitive dentine
Use additional external cause code (Chapter
XX), if desired, to identify radiation, if K05.2Acute periodontitis
radiation-induced. Acute pericoronitis
Parodontal abscess
K03.9Disease of hard tissues of teeth, unspecified Periodontal abscess
K04Diseases of pulp and periapical tissues Excl.:
K04.0Pulpitis acute apical periodontitis (K04.4)
Pulpitis: periapical abscess (K04.7)
 NOS periapical abscess with sinus (K04.6)
 acute K05.3Chronic periodontitis
 chronic (hyperplastic)(ulcerative) Chronic pericoronitis
Periodontitis:
 irreversible
 reversible  NOS
 complex
 simplex
K04.1Necrosis of pulp
Pulpal gangrene
K04.2Pulp degeneration K05.4Periodontosis
Denticles Juvenile periodontosis
Pulpal: K05.5Other periodontal diseases
 calcifications K05.6Periodontal disease, unspecified
 stones K06Other disorders of gingiva and edentulous
alveolar ridge
Excl.:
K04.3Abnormal hard tissue formation in pulp atrophy of edentulous alveolar ridge (K08.2)
Secondary or irregular dentine gingivitis:
K04.4Acute apical periodontitis of pulpal origin  NOS (K05.1)
Acute apical periodontitis NOS
 acute (K05.0)
 chronic (K05.1) Impacted or embedded teeth with abnormal
position of such teeth or adjacent teeth
Excl.:
K06.0Gingival recession
embedded and impacted teeth without
Gingival recession
abnormal position (K01.-)
(generalized)(localized)(postinfective)(post-
K07.4Malocclusion, unspecified
operative)
K07.5Dentofacial functional abnormalities
K06.1Gingival enlargement
Abnormal jaw closure
Gingival fibromatosis
Malocclusion due to:
K06.2Gingival and edentulous alveolar ridge lesions
associated with trauma  abnormal swallowing
Irritative hyperplasia of edentulous ridge  mouth breathing
[denture hyperplasia]  tongue, lip or finger habits
Use additional external cause code (Chapter
XX), if desired, to identify cause. Excl.:
K06.8Other specified disorders of gingiva and bruxism (F45.8)
edentulous alveolar ridge teeth-grinding NOS (F45.8)
Fibrous epulis K07.6Temporomandibular joint disorders
Flabby ridge Costen complex or syndrome
Giant cell epulis Derangement of temporomandibular joint
Peripheral giant cell granuloma Snapping jaw
Pyogenic granuloma of gingiva Temporomandibular joint-pain-dysfunction
K06.9Disorder of gingiva and edentulous alveolar syndrome
ridge, unspecified Excl.:
K07Dentofacial anomalies [including malocclusion] current temporomandibular joint:
Excl.:  dislocation (S03.0)
hemifacial atrophy or hypertrophy (Q67.4)  strain (S03.4)
unilateral condylar hyperplasia or hypoplasia
(K10.8) K07.8Other dentofacial anomalies
K07.0Major anomalies of jaw size K07.9Dentofacial anomaly, unspecified
Hyperplasia, hypoplasia:
K08Other disorders of teeth and supporting
 mandibular structures
 maxillary K08.0Exfoliation of teeth due to systemic causes
K08.1Loss of teeth due to accident, extraction or local
Macrognathism (mandibular)(maxillary) periodontal disease
Micrognathism (mandibular)(maxillary) K08.2Atrophy of edentulous alveolar ridge
Excl.: K08.3Retained dental root
acromegaly (E22.0) K08.8Other specified disorders of teeth and
Robin syndrome (Q87.0) supporting structures
K07.1Anomalies of jaw-cranial base relationship Alveolar (process) cleft
Asymmetry of jaw Enlargement of alveolar ridge NOS
Prognathism (mandibular)(maxillary) Irregular alveolar process
Retrognathism (mandibular)(maxillary) Toothache NOS
K07.2Anomalies of dental arch relationship K08.9Disorder of teeth and supporting structures,
Crossbite (anterior)(posterior) unspecified
Disto-occlusion K09Cysts of oral region, not elsewhere classified
Mesio-occlusion Incl.:
Midline deviation of dental arch lesions showing histological features both of
Openbite (anterior)(posterior) aneurysmal cyst and of another fibro-osseous
Overbite (excessive): lesion
 deep Excl.:
radicular cyst (K04.8)
 horizontal
K09.0Developmental odontogenic cysts
 vertical Cyst:
 dentigerous
Overjet  eruption
Posterior lingual occlusion of mandibular teeth
 follicular
K07.3Anomalies of tooth position
 gingival
 Crowding  lateral periodontal
 Diastema  primordial
 Displacement
 of tooth or teeth
 Rotation
K09.1Developmental (nonodontogenic) cysts of oral
 Spacing, abnormal region
 Transposition Cyst (of):
 nasolabial [nasoalveolar]
 nasopalatine duct [incisive canal] K11Diseases of salivary glands
K11.0Atrophy of salivary gland
K11.1Hypertrophy of salivary gland
K09.2Other cysts of jaw
Cyst of jaw: K11.2Sialoadenitis
Excl.:
 NOS epidemic parotitis (B26.-)
 aneurysmal uveoparotid fever [Heerfordt] (D86.8)
 haemorrhagic K11.3Abscess of salivary gland
 traumatic K11.4Fistula of salivary gland
Excl.:
congenital fistula of salivary gland (Q38.4)
Excl.:
latent bone cyst of jaw (K10.0) K11.5Sialolithiasis
Stafne cyst (K10.0)  Calculus
 of salivary gland or duct
K09.8Other cysts of oral region, not elsewhere  Stone
classified
 Dermoid cyst K11.6Mucocele of salivary gland
 Epidermoid cyst  of mouth  Mucous:
 Lymphoepithelial cyst  of salivary
 extravasation cyst gland
 retention cyst
Epstein pearl
K09.9Cyst of oral region, unspecified
Ranula
K10Other diseases of jaws
K11.7Disturbances of salivary secretion
K10.0Developmental disorders of jaws Hypoptyalism
Latent bone cyst of jaw
Ptyalism
Stafne cyst
Xerostomia
Torus:
Excl.:
 mandibularis dry mouth NOS (R68.2)
 palatinus K11.8Other diseases of salivary glands
Benign lymphoepithelial lesion of salivary
K10.1Giant cell granuloma, central gland
Giant cell granuloma NOS Mikulicz disease
Excl.: Necrotizing sialometaplasia
peripheral giant cell granuloma (K06.8) Sialectasia
K10.2Inflammatory conditions of jaws  Stenosis
 of salivary duct
 Osteitis  Stricture
 Osteomyelitis
(neonatal)
 of jaw Excl.:
 Osteonecrosis (drug- sicca syndrome [Sjögren] (M35.0)
(acute)(chronic)(supp
induced)(radiation- K11.9Disease of salivary gland, unspecified
urative)
induced) Sialoadenopathy NOS
 Osteo(radio)necrosis K12Stomatitis and related lesions
 Periostitis Excl.:
cancrum oris (A69.0)
cheilitis (K13.0)
Sequestrum of jaw bone gangrenous stomatitis (A69.0)
Use additional external cause code (Chapter herpesviral [herpes simplex] gingivostomatitis
XX), if desired, to identify radiation, if (B00.2)
radiation-induced, or to identify drug, if drug- noma (A69.0)
induced. K12.0Recurrent oral aphthae
K10.3Alveolitis of jaws Aphthous stomatitis (major)(minor)
Alveolar osteitis Bednar aphthae
Dry socket Periadenitis mucosa necrotica recurrens
K10.8Other specified diseases of jaws Recurrent aphthous ulcer
Cherubism Stomatitis herpetiformis
K12.1Other forms of stomatitis
 Exostosis
 of jaw Stomatitis:
 Fibrous dysplasia
 NOS
 denture
Unilateral condylar:  ulcerative
 hyperplasia  vesicular
 hypoplasia
K12.2Cellulitis and abscess of mouth
K10.9Disease of jaws, unspecified Cellulitis of mouth (floor)
Submandibular abscess  Eosinophilic granuloma
Excl.:
 Granuloma pyogenicum  of oral mucosa
abscess (of):
 Verrucous xanthoma
 periapical (K04.6-K04.7)
 periodontal (K05.2)
 peritonsillar (J36) K13.5Oral submucous fibrosis
Submucous fibrosis of tongue
 salivary gland (K11.3)
K13.6Irritative hyperplasia of oral mucosa
 tongue (K14.0) Excl.:
irritative hyperplasia of edentulous ridge
K12.3Oral mucositis (ulcerative) [denture hyperplasia] (K06.2)
Mucositis(oral) (oropharyngeal): K13.7Other and unspecified lesions of oral mucosa
 NOS Focal oral mucinosis
 drug-induced K14Diseases of tongue
 radiation induced Excl.:
 viral  erythroplakia
 focal epithelial hyperplasia  of tongue
Use additional external cause code (Chapter  leukoedema (K13.2)
XX), if desired, to identify external agent  leukoplakia

Excl.: hairy leukoplakia (K13.3)


mucositis (ulcerative) of gastrointestinal tract macroglossia (congenital) (Q38.2)
(except oral cavity and oropharynx) (K92.8) submucous fibrosis of tongue (K13.5)
K13Other diseases of lip and oral mucosa K14.0Glossitis
Incl.:  Abscess
epithelial disturbances of tongue  of tongue
Excl.:
 Ulceration (traumatic)
certain disorders of gingiva and edentulous
alveolar ridge (K05-K06) Excl.:
cysts of oral region (K09.-) atrophic glossitis (K14.4)
diseases of tongue (K14.-) K14.1Geographic tongue
stomatitis and related lesions (K12.-) Benign migratory glossitis
K13.0Diseases of lips Glossitis areata exfoliativa
Cheilitis: K14.2Median rhomboid glossitis
 NOS K14.3Hypertrophy of tongue papillae
 angular Black hairy tongue
 exfoliative Coated tongue
Hypertrophy of foliate papillae
 glandular Lingua villosa nigra
K14.4Atrophy of tongue papillae
Cheilodynia Atrophic glossitis
Cheilosis K14.5Plicated tongue
Perlèche NEC  Fissured
Excl.:
ariboflavinosis (E53.0)
 Furrowed  tongue
cheilitis due to radiation-related disorders  Scrotal
(L55-L59)
perlèche due to: Excl.:
 candidiasis (B37.8) fissured tongue, congenital (Q38.3)
 riboflavin deficiency (E53.0) K14.6Glossodynia
Glossopyrosis
Painful tongue
K13.1Cheek and lip biting
K14.8Other diseases of tongue
K13.2Leukoplakia and other disturbances of oral
epithelium, including tongue  Atrophy
 Erythroplakia  of oral epithelium,  Crenated
 (of) tongue
 Leukoedema including tongue  Enlargement
 Hypertrophy
Leukokeratosis nicotina palati
Smoker palate K14.9Disease of tongue, unspecified
Excl.: Glossopathy NOS
hairy leukoplakia (K13.3)
K13.3Hairy leukoplakia
K13.4Granuloma and granuloma-like lesions of oral
mucosa

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