ICD Body System
Date amended:
External
Statements of Principles
Current RMA Instruments
| Reasonable Hypothesis SOP | 99 of 2021 |
| Balance of Probabilities SOP | 100 of 2021 |
Changes from previous Instruments
ICD Coding
- 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
Brief description
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
- Abnormal hard tissue formation in pulp, including condensing osteitis
- Acute and chronic apical periodontitis
- Apical/periapical abscess or endodontic abscess or dentoalveolar abscess.
- Apical/periapical cyst
- Periapical periodontitis
- Pulp degeneration
- Pulp necrosis
- Pulp stones
- Pulpitis
Conditions excluded from SOP
- Combined periodontic-endodontic lesions#
- Chronic periodontitis*
- Peri-implantitis#
- Periapical lesions that are not of inflammatory origin#
* another SOP applies
# non-SOP condition
Clinical onset
Time of clinical onset should be based on advice from the treating dentist.
Clinical worsening
The presence of clinical worsening beyond the normal course of the disease should be determined based on advice from a dentist.