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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.
Confirming the diagnosis
Diagnosis requires an opinion from a dentist or copies of contemporary dental records.
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 periodontic-endodontic lesions#
- Chronic periodontitis*
* another SOP applies
# non-SOP condition
Time of clinical onset should be based on advice from the treating dentist.
The presence of clinical worsening beyond the normal course of the disease should be determined based on advice from a dentist.