ICD Code K04.7

ICD code K04.7 is a classification used to identify a periapical abscess without sinus. This condition refers to an accumulation of pus at the root of a tooth, which occurs due to an infection in the dental pulp. Unlike some abscesses, this type does not have a sinus tract, meaning there is no channel through which the pus drains. This code is used in medical billing and documentation to ensure accurate diagnosis and treatment tracking for dental health issues.

1. Localized Pain: Presence of persistent, localized pain in the affected tooth or surrounding area, often described as throbbing or sharp.

2. Swelling: Visible swelling in the gum tissue near the affected tooth, which may extend to the face or jaw.

3. Tenderness: Increased sensitivity or tenderness when pressure is applied to the affected tooth or surrounding gum tissue.

4. Tooth Sensitivity: Heightened sensitivity to hot or cold temperatures, often resulting in discomfort or pain.

5. Pus Formation: Observation of pus or purulent discharge from the gum tissue near the affected tooth, indicating infection.

6. Fever: Presence of a mild to moderate fever, suggesting a systemic response to the infection.

7. Lymphadenopathy: Swollen or tender lymph nodes in the neck or jaw area, indicating the body's immune response to the infection.

8. Tooth Mobility: Increased mobility or looseness of the affected tooth due to the underlying infection and inflammation.

9. Radiographic Evidence: Confirmation of periapical radiolucency or other signs of infection on dental X-rays, supporting the diagnosis.

10. Absence of Sinus Tract: No evidence of a sinus tract or fistula formation, which would otherwise indicate drainage of the abscess through the gum tissue.

For the ICD code K04.7, which pertains to a periapical abscess without sinus, the relevant CPT codes that may be applicable include:

1. 41800 - Drainage of abscess, cyst, hematoma, or other infection of the mouth floor.

2. 41820 - Excision of lesion or abscess, intraoral; soft tissue.

3. 41870 - Periodontal mucosal grafting.

4. 41899 - Unlisted procedure, dentoalveolar structures (used when no other specific code applies).

These CPT codes are typically used for procedures related to the treatment of dental abscesses and related conditions. It's important for healthcare providers to select the most appropriate CPT code based on the specific procedure performed and the clinical scenario.

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