K04.4
Billable

Acute apical periodontitis of pulpal origin

Billable / Specific Code

What is Acute apical periodontitis of pulpal origin?

ICD-10-CM K04.4 is the diagnosis code for Acute apical periodontitis of pulpal origin. This code falls under the section "Diseases of oral cavity and salivary glands" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for K04.4

✅ This Code Includes

  • Acute apical periodontitis NOS

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as K04.4. They are mutually exclusive:

  • acute periodontitis (K05.2-)

ICD-10-CM Code Hierarchy

Understanding where K04.4 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is K04.4 a billable ICD-10-CM code?

Yes, K04.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does K04.4 mean?

K04.4 is the ICD-10-CM diagnosis code for "Acute apical periodontitis of pulpal origin". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of K04.4?

The parent code of K04.4 is K04 ("Diseases of pulp and periapical tissues"). K04.4 provides a more specific classification within this category.

What section is K04.4 in?

K04.4 is located in Section K00-K14 — "Diseases of oral cavity and salivary glands" within Chapter 11 of the ICD-10-CM Tabular List.

When should I use K04.4?

Use K04.4 when the patients documented diagnosis matches "Acute apical periodontitis of pulpal origin" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Acute apical periodontitis of pulpal origin?

The ICD-10-CM code for Acute apical periodontitis of pulpal origin is K04.4.

Can K04.4 be used for primary diagnosis?

Yes, K04.4 can be used as a primary diagnosis code since it is billable and specific.

What chapter is K04.4 in?

K04.4 is in Chapter 11 of the ICD-10-CM Tabular List.

What conditions are excluded from K04.4?

Type 1 Excludes for K04.4 include: acute periodontitis (K05.2-).

Is K04.4 valid for 2026?

Yes, K04.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK04.3Abnormal hard tissue formation in pulpNext →K04.5Chronic apical periodontitis
Code Details
K04.4
Acute apical periodontitis of pulpal origin
Billable / Specific Code
11 — Diseases of the digestive system (K00-K95)
K00-K14 — Diseases of oral cavity and salivary glands
2026 ICD-10-CM