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Dental Pulp and Apical Disease F052
Current RMA Instruments:
|Reasonable Hypothesis SOP||3 of 2014|
|Balance of Probabilities SOP||4 of 2014|
Changes from Previous Instruments:
- ICD-9-CM Codes: 522.0, 522.1, 522.2, 522.5, 522.7, 522.3, 522.4, 522.6, 522.8
- ICD-10-AM Codes: K44, K04.1, K04.2, K04.6, K04.7, K04.9
Dental pulp disease involves inflammation / infection of the soft inner part of the tooth. It is this condition for which root canal treatment is required. The adjacent apex of a tooth may also be involved.
Is specific diagnostic evidence required to apply the SOP? – Yes.
This requires an opinion from dentist or copies of the contemporary dental records.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
- Acute and chronic apical periodontitis
- Apical abscess or endodontic abscess or dentoalveolar abscess.
- Apical cyst
- Pulp degeneration
- Pulp necrosis
Conditions excluded from SOP
- Combined periodontics-endodontic lesions
- Chronic periodontitis, ICD 9 code 523.4
If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.