ICD-10/K04.4

K04.4 ICD 2026 Code: Acute apical periodontitis of pulpal origin

K04.4 is the authoritative medical code for Acute apical periodontitis of pulpal origin. This classification is used in medical billing and clinical recording to specify the clinical criteria for acute apical periodontitis of pulpal origin (ICD-10-CM K04.4), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Official Registry Overview & Definition

Acute apical periodontitis of pulpal origin is a billable ICD-10-CM diagnosis code K04.4. Inclusion terms: Acute apical periodontitis NOS. Excludes1 (not coded here): acute periodontitis K05.2-.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for K04.4 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Acute apical periodontitis NOS

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • acute periodontitis K05.2-

Frequently Asked Questions (FAQ) & Clinical Guidance

What can't be coded together with K04.4?

Per Excludes1 instructions, K04.4 must not be reported with: acute periodontitis (K05.2-).

What conditions are included under K04.4?

Acute apical periodontitis of pulpal origin includes: Acute apical periodontitis NOS.

Codes in This Family (10)

Official ICD-10-CM classifications in the same code family as K04.4, with their registry titles.

  • K04 — Diseases of pulp and periapical tissues
  • K04.0 — Pulpitis
  • K04.1 — Necrosis of pulp
  • K04.2 — Pulp degeneration
  • K04.3 — Abnormal hard tissue formation in pulp
  • K04.5 — Chronic apical periodontitis
  • K04.6 — Periapical abscess with sinus
  • K04.7 — Periapical abscess without sinus
  • K04.8 — Radicular cyst
  • K04.9 — Other and unspecified diseases of pulp and periapical tissues

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Periodontitis (chronic) (complex) (compound) (local) (simplex), apical, acute (pulpal origin)
  • Septic, teeth, tooth (pulpal origin)

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code K00.4 Disturbances in tooth formation
ICD Code K03.4 Hypercementosis
ICD Code K05.4 Periodontosis
ICD Code K08.4 Partial loss of teeth
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