Diseases Of Oral Cavity ICD 9 Codes(520-525)

9.  DISEASES OF THE DIGESTIVE SYSTEM (520-579)

DISEASES OF ORAL CAVITY (ICD 9 CODES: 520-525)

520       Disorders of tooth development and eruption

520.0    Anodontia

Absence of teeth (complete) (congenital) (partial)

Hypodontia

Oligodontia

Excludes: acquired absence of teeth (525.10-525.19)

520.1    Supernumerary teeth

Distomolar

Fourth molar

Mesiodens

Paramolar

Supplemental teeth

Excludes: supernumerary roots (520.2)

520.2    Abnormalities of size and form

Concrescence of teeth

Fusion of teeth

Gemination of teeth

Dens evaginatus

Dens in dente

Dens invaginatus

Enamel pearls

Macrodontia

Microdontia

Peg-shaped [conical] teeth

Supernumerary roots

Taurodontism

Tuberculum paramolare

Excludes: that due to congenital syphilis (090.5)

tuberculum Carabelli, which is regarded as a normal variation

520.3    Mottled teeth

Dental fluorosis

Mottling of enamel

Nonfluoride enamel opacities

520.4    Disturbances of tooth formation

Aplasia and hypoplasia of cementum

Dilaceration of tooth

Enamel hypoplasia (neonatal) (postnatal) (prenatal)

Horner's teeth

Hypocalcification of teeth

Regional odontodysplasia

Turner's tooth

Excludes: Hutchinson's teeth and mulberry molars in congenital syphilis (090.5)

mottled teeth (520.3)

520.5    Hereditary disturbances in tooth structure, not elsewhere classified

Amelogenesis imperfecta

Dentinogenesis imperfecta

Odontogenesis imperfecta

Dentinal dysplasia

Shell teeth

520.6    Disturbances in tooth eruption

Teeth:

embedded

impacted

natal

neonatal

prenatal

primary [deciduous]:

persistent

shedding, premature

Tooth eruption:

late

obstructed

premature

Excludes: exfoliation of teeth (attributable to disease of surrounding tissues) (525.0-525.19)

520.7    Teething syndrome

520.8    Other specified disorders of tooth development and eruption

Color changes during tooth formation

Pre-eruptive color changes

Excludes: posteruptive color changes (521.7)

520.9    Unspecified disorder of tooth development and eruption

521       Diseases of hard tissues of teeth

521.0    Dental caries

521.00  Dental caries, unspecified

521.01  Dental caries limited to enamel

Initial caries

White spot lesion

521.02  Dental caries extending into dentine

521.03  Dental caries extending into pulp

521.04  Arrested dental caries

521.05  Odontoclasia

Infantile melanodontia

Melanodontoclasia

Excludes: internal and external resorption of teeth (521.40-521.49)

521.06  Dental caries pit and fissure

Primary dental caries, pit and fissure origin

521.07  Dental caries of smooth surface

Primary dental caries, smooth surface origin

521.08  Dental caries of root surface

Primary dental caries, root surface

521.09  Other dental caries

521.1    Excessive attrition (approximal wear) (occlusal wear)

521.10  Excessive attrition, unspecified

521.11  Excessive attrition, limited to enamel

521.12  Excessive attrition, extending into dentine

521.13  Excessive attrition, extending into pulp

521.14  Excessive attrition, localized

521.15  Excessive attrition, generalized

521.2    Abrasion

Abrasion of teeth:

dentifrice

habitual

occupational

ritual

traditional

Wedge defect NOS of teeth

521.20  Abrasion, unspecified

521.21  Abrasion, limited to enamel

521.22  Abrasion, extending into dentine

521.23  Abrasion, extending into pulp

521.24  Abrasion, localized

521.25  Abrasion, generalized

521.3    Erosion

Erosion of teeth:

NOS

due to:

medicine

persistent vomiting

idiopathic

occupational

521.30  Erosion, unspecified

521.31  Erosion, limited to enamel

521.32  Erosion, extending into dentine

521.33  Erosion, extending into pulp

521.34  Erosion, localized

521.35  Erosion, generalized

521.4    Pathological resorption

521.40  Pathological resorption, unspecified

521.41  Pathological resorption, internal

521.42  Pathological resorption, external

521.49  Other pathological resorption

Internal granuloma of pulp

521.5    Hypercementosis

Cementation hyperplasia

521.6    Ankylosis of teeth

521.7    Intrinsic posteruptive color changes

Staining [discoloration] of teeth:

NOS

due to:

drugs

metals

pulpal bleeding

Excludes: accretions [deposits] on teeth (523.6)

extrinsic color changes (523.6)

pre-eruptive color changes (520.8)

521.8    Other specified diseases of hard tissues of teeth

521.81  Cracked tooth

Excludes: asymptomatic craze lines in enamel - omit code

broken tooth due to trauma (873.63, 873.73)

fractured tooth due to trauma 873.63, 873.73

521.89  Other specified diseases of hard tissues of teeth

Irradiated enamel

Sensitive dentin

521.9    Unspecified disease of hard tissues of teeth

522       Diseases of pulp and periapical tissues

522.0    Pulpitis

Pulpal:

abscess

polyp

Pulpitis:

acute

chronic (hyperplastic) (ulcerative)

suppurative

522.1    Necrosis of the pulp

Pulp gangrene

522.2    Pulp degeneration

Denticles

Pulp calcifications

Pulp stones

522.3    Abnormal hard tissue formation in pulp

Secondary or irregular dentin

522.4    Acute apical periodontitis of pulpal origin

522.5    Periapical abscess without sinus

Abscess:

dental

dentoalveolar

Excludes: periapical abscess with sinus (522.7)

522.6    Chronic apical periodontitis

Apical or periapical granuloma

Apical periodontitis NOS

522.7    Periapical abscess with sinus

Fistula:

alveolar process

dental

522.8    Radicular cyst

Cyst:

apical (periodontal)

periapical

radiculodental

residual radicular

Excludes: lateral developmental or lateral periodontal cyst (526.0)

522.9    Other and unspecified diseases of pulp and periapical tissues

523       Gingival and periodontal diseases

523.0    Acute gingivitis

Excludes: acute necrotizing ulcerative gingivitis (101)

herpetic gingivostomatitis (054.2)

523.00  Acute gingivitis, plaque induced

Acute gingivitis NOS

523.01  Acute gingivitis, non-plaque induced

523.1    Chronic gingivitis

Gingivitis (chronic):

desquamative

hyperplastic

simple marginal

ulcerative

Excludes: herpetic gingivostomatitis (054.2)

523.10  Chronic gingivitis, plaque induced

Chronic gingivitis NOS

Gingivitis NOS

523.11  Chronic gingivitis, non-plaque induced

523.2    Gingival recession

Gingival recession (postinfective) (postoperative)

523.20  Gingival recession, unspecified

523.21  Gingival recession, minimal

523.22  Gingival recession, moderate

523.23  Gingival recession, severe

523.24  Gingival recession, localized

523.25  Gingival recession, generalized

523.3    Aggressive and acute periodontitis

Acute:

pericementitis

pericoronitis

Excludes: acute apical periodontitis (522.4)

periapical abscess (522.5, 522.7)

523.30  Aggressive periodontitis, unspecified

523.31  Aggressive periodontitis, localized

Periodontal abscess

523.32  Aggressive periodontitis, generalized

523.33  Acute periodontitis

523.4    Chronic periodontitis

Chronic pericoronitis

Pericementitis (chronic)

Periodontitis:

NOS

complex

simplex

Excludes: chronic apical periodontitis (522.6)

523.40  Chronic periodontitis, unspecified

523.41  Chronic periodontitis, localized

523.42  Chronic periodontitis, generalized

523.5    Periodontosis

523.6    Accretions on teeth

Dental calculus:

subgingival

supragingival

Deposits on teeth:

betel

materia alba

soft

tartar

tobacco

Extrinsic discoloration of teeth

Excludes: intrinsic discoloration of teeth (521.7)

523.8    Other specified periodontal diseases

Giant cell:

epulis

peripheral granuloma

Gingival:

cysts

enlargement NOS

fibromatosis

Gingival polyp

Periodontal lesions due to traumatic occlusion

Peripheral giant cell granuloma

Excludes: leukoplakia of gingiva (528.6)

523.9    Unspecified gingival and periodontal disease

524       Dentofacial anomalies, including malocclusion

524.0    Major anomalies of jaw size

Excludes: hemifacial atrophy or hypertrophy (754.0)

unilateral condylar hyperplasia or hypoplasia of mandible

524.00  Unspecified anomaly

524.01  Maxillary hyperplasia

524.02  Mandibular hyperplasia

524.03  Maxillary hypoplasia

524.04  Mandibular hypoplasia

524.05  Macrogenia

524.06  Microgenia

524.07  Excessive tuberosity of jaw

Entire maxillary tuberosity

524.09  Other specified anomaly

524.1    Anomalies of relationship of jaw to cranial base

524.10  Unspecified anomaly

Prognathism

Retrognathism

524.11  Maxillary asymmetry

524.12  Other jaw asymmetry

524.19  Other specified anomaly

524.2    Anomalies of dental arch relationship

Anomaly of dental arch

Excludes: hemifacial atrophy or hypertrophy (754.0)

soft tissue impingement (524.81-524.82)

unilateral condylar hyperplasia or hypoplasia of mandible (526.89)

524.20  Unspecified anomaly of dental arch relationship

524.21  Malocclusion, Angle's class I

Neutro-occlusion

524.22  Malocclusion, Angle's class II

Disto-occlusion Division I

Disto-occlusion Division II

524.23  Malocclusion, Angle's class III

Mesio-occlusion

524.24  Open anterior occlusal relationship

Anterior open bite

524.25  Open posterior occlusal relationship

Posterior open bite

524.26  Excessive horizontal overlap

Excessive horizontal overjet

524.27  Reverse articulation

Anterior articulation

Crossbite

Posterior articulation

524.28  Anomalies of interarch distance

Excessive interarch distance

Inadequate interarch distance

524.29  Other anomalies of dental arch relationship

Other anomalies of dental arch

524.3    Anomalies of tooth position of fully erupted teeth

Excludes: impacted or embedded teeth with abnormal position of such teeth or adjacent teeth (520.6)

524.30  Unspecified anomaly of tooth position

Diastema of teeth NOS

Displacement of teeth NOS

Transposition of teeth NOS

524.31  Crowding of teeth

524.32  Excessive spacing of teeth

524.33  Horizontal displacement of teeth

Tipped teeth

Tipping of teeth

524.34  Vertical displacement of teeth

Extruded tooth

Infraeruption of teeth

Intruded tooth

Supraeruption of teeth

524.35  Rotation of tooth/teeth

524.36  Insufficient interocclusal distance of teeth (ridge)

Lack of adequate intermaxillary vertical dimension

524.37  Excessive interocclusal distance of teeth

Excessive intermaxillary vertical dimension

Loss of occlusal vertical dimension

524.39  Other anomalies of tooth position

524.4    Malocclusion, unspecified

524.5    Dentofacial functional abnormalities

524.50  Dentofacial functional abnormality, unspecified

524.51  Abnormal jaw closure

524.52  Limited mandibular range of motion

524.53  Deviation in opening and closing of the mandible

524.54  Insufficient anterior guidance

Insufficient anterior occlusal guidance

524.55  Centric occlusion maximum intercuspation discrepancy

Centric occlusion of teeth discrepancy

524.56  Non-working side interference

Balancing side interference

524.57  Lack of posterior occlusal support

524.59  Other dentofacial functional abnormalities

Abnormal swallowing

Mouth breathing

Sleep postures

Tongue, lip, or finger habits

524.6    Temporomandibular joint disorders

Excludes: current temporomandibular joint:

dislocation (830.0-830.1)

strain (848.1)

524.60  Temporomandibular joint disorders, unspecified

Temporomandibular joint-pain-dysfunction syndrome [TMJ]

524.61  Adhesions and ankylosis (bony or fibrous)

524.62  Arthralgia of temporomandibular joint

524.63  Articular disc disorder (reducing or nonreducing)

524.64  Temporomandibular joint sounds on opening and/or closing the jaw

524.69  Other specified temporomandibular joint disorders

524.7    Dental alveolar anomalies

524.70  Unspecified alveolar anomaly

524.71  Alveolar maxillary hyperplasia

524.72  Alveolar mandibular hyperplasia

524.73  Alveolar maxillary hypoplasia

524.74  Alveolar mandibular hypoplasia

524.75  Vertical displacement of alveolus and teeth

Extrusion of alveolus and teeth

524.76  Occlusal plane deviation

524.79  Other specified alveolar anomaly

524.8    Other specified dentofacial anomalies

524.81  Anterior soft tissue impingement

524.82  Posterior soft tissue impingement

524.89  Other specified dentofacial anomalies

524.9    Unspecified dentofacial anomalies

525       Other diseases and conditions of the teeth and supporting structures

525.0    Exfoliation of teeth due to systemic causes

525.1    Loss of teeth due to trauma, extraction, or periodontal disease

Code first class of edentulism (525.40-525.44, 525.50-525.54)

525.10  Acquired absence of teeth, unspecified

Tooth extraction status, NOS

525.11  Loss of teeth due to trauma

525.12  Loss of teeth due to periodontal disease

525.13  Loss of teeth due to caries

525.19  Other loss of teeth

525.2    Atrophy of edentulous alveolar ridge

525.20  Unspecified atrophy of edentulous alveolar ridge

Atrophy of the mandible NOS

Atrophy of the maxilla NOS

525.21  Minimal atrophy of the mandible

525.22  Moderate atrophy of the mandible

525.23  Severe atrophy of the mandible

525.24  Minimal atrophy of the maxilla

525.25  Moderate atrophy of the maxilla

525.26  Severe atrophy of the maxilla

525.3    Retained dental root

525.4    Complete edentulism

Use additional code to identify cause of edentulism (525.10-525.19)

525.40  Complete edentulism, unspecified

Edentulism NOS

525.41  Complete edentulism, class I

525.42  Complete edentulism, class II

525.43  Complete edentulism, class III

525.44  Complete edentulism, class IV

525.5    Partial edentulism

Use additional code to identify cause of edentulism (525.10-525.19)

525.50  Partial edentulism, unspecified

525.51  Partial edentulism, class I

525.52  Partial edentulism, class II

525.53  Partial edentulism, class III

525.54  Partial edentulism, class IV

525.6    Unsatisfactory restoration of tooth

Defective bridge, crown, fillings

Defective dental restoration

Excludes: dental restoration status (V45.84)

unsatisfactory endodontic treatment (526.61-526.69)

525.60  Unspecified unsatisfactory restoration of tooth

Unspecified defective dental restoration

525.61  Open restoration margins

Dental restoration failure of marginal integrity

Open margin on tooth restoration

525.62  Unrepairable overhanging of dental restorative materials

Overhanging of tooth restoration

525.63  Fractured dental restorative material without loss of material

Excludes: cracked tooth (521.81)

fractured tooth (873.63, 873.73)

525.64  Fractured dental restorative material with loss of material

Excludes: cracked tooth (521.81)

fractured tooth (873.63, 873.73)

525.65  Contour of existing restoration of tooth biologically incompatible with oral health

Dental restoration failure of periodontal anatomical integrity

Unacceptable contours of existing restoration

Unacceptable morphology of existing restoration

525.66  Allergy to existing dental restorative material

Use additional code to identify the specific type of allergy

525.67  Poor aesthetics of existing restoration

Dental restoration aesthetically inadequate or displeasing

525.69  Other unsatisfactory restoration of existing tooth

525.7    Endosseous dental implant failure

525.71  Osseointegration failure of dental implant

Failure of dental implant due to infection

Failure of dental implant due to unintentional loading

Failure of dental implant osseointegration due to premature loading

Failure of dental implant to osseointegrate prior to intentional prosthetic loading

Hemorrhagic complications of dental implant placement

Iatrogenic osseointegration failure of dental implant

Osseointegration failure of dental implant due to complications of systemic disease

Osseointegration failure of dental implant due to poor bone quality

Pre-integration failure of dental implant NOS

Pre-osseointegration failure of dental implant

525.72  Post-osseointegration biological failure of dental implant

Failure of dental implant due to lack of attached gingiva

Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)

Failure of dental implant due to parafunctional habits

Failure of dental implant due to periodontal infection (peri-implantitis)

Failure of dental implant due to poor oral hygiene

Failure of dental implant to osseointegrate following intentional prosthetic loading

Iatrogenic post-osseointegration failure of dental implant

Post-osseointegration failure of dental implant due to complications of systemic disease

525.73  Post-osseointegration mechanical failure of dental implant

Failure of dental prosthesis causing loss of dental implant

Fracture of dental implant

Mechanical failure of dental implant NOS

Excludes: cracked tooth (521.81)

fractured dental restorative material with loss of material (525.64)

fractured dental restorative material without loss of material (525.63)

fractured tooth (873.63, 873.73)

525.79  Other endosseous dental implant failure

Dental implant failure NOS

525.8    Other specified disorders of the teeth and supporting structures

Enlargement of alveolar ridge NOS

Irregular alveolar process

525.9    Unspecified disorder of the teeth and supporting structures