Nama Pasien:

Jenis Kelamin:
Tanggal Daftar:
No. Pasien:
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Tanggal Lahir:
Usia Saat Ini: 123
No. Telepon/HP:
Dokter PJ:

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 Odontogram

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No. Tanggal kunjungan Subjective Objective
Assesment ICD 10 Plan Keterangan
Laki-laki
Perempuan
Diseases of oral cavity and salivary glands (K00-K14)
K00 Disorders of tooth development and eruption
Excludes2: embedded and impacted teeth (K01.-)
K00.0Anodontia
Hypodontia
Oligodontia
Excludes1: acquired absence of teeth (K08.1-)
K00.1 Supernumerary teeth
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth
Excludes2: supernumerary roots (K00.2)
K00.2 Abnormalities of size and form of teeth
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
Excludes1: abnormalities of teeth due to congenital syphilis (A50.5)
tuberculum Carabelli, which is regarded as a normal variation and should not be coded
K00.3 Mottled teeth
Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excludes2: deposits [accretions] on teeth (K03.6)
K00.4 Disturbances in tooth formation
Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal) (postnatal) (prenatal)
Regional odontodysplasia
Turner's tooth
Excludes1: Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)
Excludes2: mottled teeth (K00.3)
K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
Amelogenesis imperfecta
Dentinogenesis imperfecta
Odontogenesis imperfecta
Dentinal dysplasia
Shell teeth
K00.6 Disturbances in tooth eruption
Dentia praecox
Natal tooth
Neonatal tooth
Premature eruption of tooth
Premature shedding of primary [deciduous] tooth
Prenatal teeth
Retained [persistent] primary tooth
Excludes2: embedded and impacted teeth (K01.-)
K00.7 Teething syndrome
K00.8 Other disorders of tooth development
Color changes during tooth formation
Intrinsic staining of teeth NOS
Excludes2: posteruptive color changes (K03.7)
K00.9 Disorder of tooth development, unspecified
Disorder of odontogenesis NOS
K01 Embedded and impacted teeth
Excludes1: abnormal position of fully erupted teeth (M26.3-)
K01.0 Embedded teeth
K01.1 Impacted teeth
K02 Dental caries
Includes: caries of dentine
dental cavities
early childhood caries
pre-eruptive caries
recurrent caries (dentino enamel junction) (enamel) (to the pulp)
tooth decay
K02.3 Arrested dental caries
Arrested coronal and root caries
K02.5 Dental caries on pit and fissure surface
Dental caries on chewing surface of tooth
K02.51 Dental caries on pit and fissure surface limited to enamel
White spot lesions [initial caries] on pit and fissure surface of tooth
K02.52 Dental caries on pit and fissure surface penetrating into dentin
Primary dental caries, cervical origin
K02.53 Dental caries on pit and fissure surface penetrating into pulp
K02.6 Dental caries on smooth surface
K02.61 Dental caries on smooth surface limited to enamel
White spot lesions [initial caries] on smooth surface of tooth
K02.62 Dental caries on smooth surface penetrating into dentin
K02.63 Dental caries on smooth surface penetrating into pulp
K02.7 Dental root caries
K02.9 Dental caries, unspecified
K03 Other diseases of hard tissues of teeth
Excludes2: bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)
K03.0 Excessive attrition of teeth
Approximal wear of teeth
Occlusal wear of teeth
K03.1 Abrasion of teeth
Dentifrice abrasion of teeth
Habitual abrasion of teeth
Occupational abrasion of teeth
Ritual abrasion of teeth
Traditional abrasion of teeth
Wedge defect NOS
K03.2 Erosion of teeth
Erosion of teeth due to diet
Erosion of teeth due to drugs and medicaments
Erosion of teeth due to persistent vomiting
Erosion of teeth NOS
Idiopathic erosion of teeth
Occupational erosion of teeth
K03.3 Pathological resorption of teeth
Internal granuloma of pulp
Resorption of teeth (external)
K03.4 Hypercementosis
Cementation hyperplasia
K03.5 Ankylosis of teeth
K03.6 Deposits [accretions] on teeth
Betel deposits [accretions] on teeth
Black deposits [accretions] on teeth
Extrinsic staining of teeth NOS
Green deposits [accretions] on teeth
Materia alba deposits [accretions] on teeth
Orange deposits [accretions] on teeth
Staining of teeth NOS
Subgingival dental calculus
Supragingival dental calculus
Tobacco deposits [accretions] on teeth
K03.7 Posteruptive color changes of dental hard tissues
Excludes2: deposits [accretions] on teeth (K03.6)
K03.8 Other specified diseases of hard tissues of teeth
K03.81 Cracked tooth
Excludes1: asymptomatic craze lines in enamel - omit code
broken or fractured tooth due to trauma (S02.5)
K03.89 Other specified diseases of hard tissues of teeth
K03.9 Disease of hard tissues of teeth, unspecified
K04 Diseases of pulp and periapical tissues
K04.0 Pulpitis
Acute pulpitis
Chronic (hyperplastic) (ulcerative) pulpitis
K04.01 Reversible pulpitis
K04.02 Irreversible pulpitis
K04.1 Necrosis of pulp
Pulpal gangrene
K04.2 Pulp degeneration
Denticles
Pulpal calcifications
Pulpal stones
K04.3 Abnormal hard tissue formation in pulp
Secondary or irregular dentine
K04.4 Acute apical periodontitis of pulpal origin
Acute apical periodontitis NOS
Excludes1: acute periodontitis (K05.2-)
K04.5 Chronic apical periodontitis
Apical or periapical granuloma
Apical periodontitis NOS
Excludes1: chronic periodontitis (K05.3-)
K04.6 Periapical abscess with sinus
Dental abscess with sinus
Dentoalveolar abscess with sinus
K04.7 Periapical abscess without sinus
Dental abscess without sinus
Dentoalveolar abscess without sinus
K04.8 Radicular cyst
Apical (periodontal) cyst
Periapical cyst
Residual radicular cyst
Excludes2: lateral periodontal cyst (K09.0)
K04.9 Other and unspecified diseases of pulp and periapical tissues
K04.90 Unspecified diseases of pulp and periapical tissues
K04.99 Other diseases of pulp and periapical tissues
K05 Gingivitis and periodontal diseases
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
K05.0 Acute gingivitis
Excludes1: acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
K05.00 Acute gingivitis, plaque induced
Acute gingivitis NOS
Plaque induced gingival disease
K05.01 Acute gingivitis, non-plaque induced
K05.1 Chronic gingivitis
Desquamative gingivitis (chronic)
Gingivitis (chronic) NOS
Hyperplastic gingivitis (chronic)
Pregnancy associated gingivitis
Simple marginal gingivitis (chronic)
Ulcerative gingivitis (chronic)
Code first, if applicable, diseases of the digestive system complicating pregnancy (O99.61-)
K05.10 Chronic gingivitis, plaque induced
Chronic gingivitis NOS
Gingivitis NOS
K05.11 Chronic gingivitis, non-plaque induced
K05.2 Aggressive periodontitis
Acute pericoronitis
Excludes1: acute apical periodontitis (K04.4)
periapical abscess (K04.7)
periapical abscess with sinus (K04.6)
K05.20 Aggressive periodontitis, unspecified
K05.21 Aggressive periodontitis, localized
Periodontal abscess
K05.211 Aggressive periodontitis, localized, slight
K05.212 Aggressive periodontitis, localized, moderate
K05.213 Aggressive periodontitis, localized, severe
K05.219 Aggressive periodontitis, localized, unspecified severity
K05.22 Aggressive periodontitis, generalized
K05.221 Aggressive periodontitis, generalized, slight
K05.222 Aggressive periodontitis, generalized, moderate
K05.223 Aggressive periodontitis, generalized, severe
K05.229 Aggressive periodontitis, generalized, unspecified severity
K05.3 Chronic periodontitis
Chronic pericoronitis
Complex periodontitis
Periodontitis NOS
Simplex periodontitis
Excludes1: chronic apical periodontitis (K04.5)
K05.30 Chronic periodontitis, unspecified
K05.31 Chronic periodontitis, localized
K05.311 Chronic periodontitis, localized, slight
K05.312 Chronic periodontitis, localized, moderate
K05.313 Chronic periodontitis, localized, severe
K05.319 Chronic periodontitis, localized, unspecified severity
K05.32 Chronic periodontitis, generalized
K05.321 Chronic periodontitis, generalized, slight
K05.322 Chronic periodontitis, generalized, moderate
K05.323 Chronic periodontitis, generalized, severe
K05.329 Chronic periodontitis, generalized, unspecified severity
K05.4 Periodontosis
Juvenile periodontosis
K05.5 Other periodontal diseases
Combined periodontic-endodontic lesion
Narrow gingival width (of periodontal soft tissue)
Excludes2: leukoplakia of gingiva (K13.21)
K05.6 Periodontal disease, unspecified
K06 Other disorders of gingiva and edentulous alveolar ridge
Excludes2: acute gingivitis (K05.0)
atrophy of edentulous alveolar ridge (K08.2)
chronic gingivitis (K05.1)
gingivitis NOS (K05.1)
K06.0 Gingival recession
Gingival recession (postinfective) (postprocedural)
K06.01 Gingival recession, localized
K06.010 Localized gingival recession, unspecified
Localized gingival recession, NOS
K06.011 Localized gingival recession, minimal
K06.012 Localized gingival recession, moderate
K06.013 Localized gingival recession, severe
K06.02 Gingival recession, generalized
K06.020 Generalized gingival recession, unspecified
Generalized gingival recession, NOS
K06.021 Generalized gingival recession, minimal
K06.022 Generalized gingival recession, moderate
K06.023 Generalized gingival recession, severe
K06.1 Gingival enlargement
Gingival fibromatosis
K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
Irritative hyperplasia of edentulous ridge [denture hyperplasia]
Use additional code (Chapter 20) to identify external cause or denture status (Z97.2)
K06.3 Horizontal alveolar bone loss
K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
Fibrous epulis
Flabby alveolar ridge
Giant cell epulis
Peripheral giant cell granuloma of gingiva
Pyogenic granuloma of gingiva
Vertical ridge deficiency
Excludes2: gingival cyst (K09.0)
K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
K08 Other disorders of teeth and supporting structures
Excludes2: dentofacial anomalies [including malocclusion] (M26.-)
disorders of jaw (M27.-)
K08.0 Exfoliation of teeth due to systemic causes
Code also underlying systemic condition
K08.1 Complete loss of teeth
Acquired loss of teeth, complete
Excludes1: congenital absence of teeth (K00.0)
exfoliation of teeth due to systemic causes (K08.0)
partial loss of teeth (K08.4-)
K08.10 Complete loss of teeth, unspecified cause
K08.101 Complete loss of teeth, unspecified cause, class I
K08.102 Complete loss of teeth, unspecified cause, class II
K08.103 Complete loss of teeth, unspecified cause, class III
K08.104 Complete loss of teeth, unspecified cause, class IV
K08.109 Complete loss of teeth, unspecified cause, unspecified class
Edentulism NOS
K08.11 Complete loss of teeth due to trauma
K08.111 Complete loss of teeth due to trauma, class I
K08.112 Complete loss of teeth due to trauma, class II
K08.113 Complete loss of teeth due to trauma, class III
K08.114 Complete loss of teeth due to trauma, class IV
K08.119 Complete loss of teeth due to trauma, unspecified class
K08.12 Complete loss of teeth due to periodontal diseases
K08.121 Complete loss of teeth due to periodontal diseases, class I
K08.122 Complete loss of teeth due to periodontal diseases, class II
K08.123 Complete loss of teeth due to periodontal diseases, class III
K08.124 Complete loss of teeth due to periodontal diseases, class IV
K08.129 Complete loss of teeth due to periodontal diseases, unspecified class
K08.13 Complete loss of teeth due to caries
K08.131 Complete loss of teeth due to caries, class I
K08.132 Complete loss of teeth due to caries, class II
K08.133 Complete loss of teeth due to caries, class III
K08.134 Complete loss of teeth due to caries, class IV
K08.139 Complete loss of teeth due to caries, unspecified class
K08.19 Complete loss of teeth due to other specified cause
K08.191 Complete loss of teeth due to other specified cause, class I
K08.192 Complete loss of teeth due to other specified cause, class II
K08.193 Complete loss of teeth due to other specified cause, class III
K08.194 Complete loss of teeth due to other specified cause, class IV
K08.199 Complete loss of teeth due to other specified cause, unspecified class
K08.2 Atrophy of edentulous alveolar ridge
K08.20 Unspecified atrophy of edentulous alveolar ridge
Atrophy of the mandible NOS
Atrophy of the maxilla NOS
K08.21 Minimal atrophy of the mandible
Minimal atrophy of the edentulous mandible
K08.22 Moderate atrophy of the mandible
Moderate atrophy of the edentulous mandible
K08.23 Severe atrophy of the mandible
Severe atrophy of the edentulous mandible
K08.24 Minimal atrophy of maxilla
Minimal atrophy of the edentulous maxilla
K08.25 Moderate atrophy of the maxilla
Moderate atrophy of the edentulous maxilla
K08.26 Severe atrophy of the maxilla
Severe atrophy of the edentulous maxilla
K08.3 Retained dental root
K08.4 Partial loss of teeth
Acquired loss of teeth, partial
Excludes1: complete loss of teeth (K08.1-)
congenital absence of teeth (K00.0)
Excludes2: exfoliation of teeth due to systemic causes (K08.0)
K08.40 Partial loss of teeth, unspecified cause
K08.401 Partial loss of teeth, unspecified cause, class I
K08.402 Partial loss of teeth, unspecified cause, class II
K08.403 Partial loss of teeth, unspecified cause, class III
K08.404 Partial loss of teeth, unspecified cause, class IV
K08.409 Partial loss of teeth, unspecified cause, unspecified class
Tooth extraction status NOS
K08.41 Partial loss of teeth due to trauma
K08.411 Partial loss of teeth due to trauma, class I
K08.412 Partial loss of teeth due to trauma, class II
K08.413 Partial loss of teeth due to trauma, class III
K08.414 Partial loss of teeth due to trauma, class IV
K08.419 Partial loss of teeth due to trauma, unspecified class
K08.42 Partial loss of teeth due to periodontal diseases
K08.421 Partial loss of teeth due to periodontal diseases, class I
K08.422 Partial loss of teeth due to periodontal diseases, class II
K08.423 Partial loss of teeth due to periodontal diseases, class III
K08.424 Partial loss of teeth due to periodontal diseases, class IV
K08.429 Partial loss of teeth due to periodontal diseases, unspecified class
K08.43 Partial loss of teeth due to caries
K08.431 Partial loss of teeth due to caries, class I
K08.432 Partial loss of teeth due to caries, class II
K08.433 Partial loss of teeth due to caries, class III
K08.434 Partial loss of teeth due to caries, class IV
K08.439 Partial loss of teeth due to caries, unspecified class
K08.49 Partial loss of teeth due to other specified cause
K08.491 Partial loss of teeth due to other specified cause, class I
K08.492 Partial loss of teeth due to other specified cause, class II
K08.493 Partial loss of teeth due to other specified cause, class III
K08.494 Partial loss of teeth due to other specified cause, class IV
K08.499 Partial loss of teeth due to other specified cause, unspecified class
K08.5 Unsatisfactory restoration of tooth
Defective bridge, crown, filling
Defective dental restoration
Excludes1: dental restoration status (Z98.811)
Excludes2: endosseous dental implant failure (M27.6-)
unsatisfactory endodontic treatment (M27.5-)
K08.50 Unsatisfactory restoration of tooth, unspecified
Defective dental restoration NOS
K08.51 Open restoration margins of tooth
Dental restoration failure of marginal integrity
Open margin on tooth restoration
Poor gingival margin to tooth restoration
K08.52 Unrepairable overhanging of dental restorative materials
Overhanging of tooth restoration
K08.53 Fractured dental restorative material
Excludes1: cracked tooth (K03.81)
traumatic fracture of tooth (S02.5)
K08.530 Fractured dental restorative material without loss of material
K08.531 Fractured dental restorative material with loss of material
K08.539 Fractured dental restorative material, unspecified
K08.54 Contour of existing restoration of tooth biologically incompatible with oral health
Dental restoration failure of periodontal anatomical integrity
Unacceptable contours of existing restoration of tooth
Unacceptable morphology of existing restoration of tooth
K08.55 Allergy to existing dental restorative material
Use additional code to identify the specific type of allergy
K08.56 Poor aesthetic of existing restoration of tooth
Dental restoration aesthetically inadequate or displeasing
K08.59 Other unsatisfactory restoration of tooth
Other defective dental restoration
K08.8 Other specified disorders of teeth and supporting structures
K08.81 Primary occlusal trauma
K08.82 Secondary occlusal trauma
K08.89 Other specified disorders of teeth and supporting structures
Enlargement of alveolar ridge NOS
Insufficient anatomic crown height
Insufficient clinical crown length
Irregular alveolar process
Toothache NOS
K08.9 Disorder of teeth and supporting structures, unspecified
K09 Cysts of oral region, not elsewhere classified
Includes: lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion
Excludes2: cysts of jaw (M27.0-, M27.4-)
radicular cyst (K04.8)
K09.0 Developmental odontogenic cysts
Dentigerous cyst
Eruption cyst
Follicular cyst
Gingival cyst
Lateral periodontal cyst
Primordial cyst
Excludes2: keratocysts (D16.4, D16.5)
odontogenic keratocystic tumors (D16.4, D16.5)
K09.1 Developmental (nonodontogenic) cysts of oral region
Cyst (of) incisive canal
Cyst (of) palatine of papilla
Globulomaxillary cyst
Median palatal cyst
Nasoalveolar cyst
Nasolabial cyst
Nasopalatine duct cyst
K09.8 Other cysts of oral region, not elsewhere classified
Dermoid cyst
Epidermoid cyst
Lymphoepithelial cyst
Epstein's pearl
K09.9 Cyst of oral region, unspecified
K11 Diseases of salivary glands
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
K11.0 Atrophy of salivary gland
K11.1 Hypertrophy of salivary gland
K11.2 Sialoadenitis
Parotitis
Excludes1: epidemic parotitis (B26.-)
mumps (B26.-)
uveoparotid fever [Heerfordt] (D86.89)
K11.20 Sialoadenitis, unspecified
K11.21 Acute sialoadenitis
Excludes1: acute recurrent sialoadenitis (K11.22)
K11.22 Acute recurrent sialoadenitis
K11.23 Chronic sialoadenitis
K11.3 Abscess of salivary gland
K11.4 Fistula of salivary gland
Excludes1: congenital fistula of salivary gland (Q38.4)
K11.5 Sialolithiasis
Calculus of salivary gland or duct
Stone of salivary gland or duct
K11.6 Mucocele of salivary gland
Mucous extravasation cyst of salivary gland
Mucous retention cyst of salivary gland
Ranula
K11.7 Disturbances of salivary secretion
Hypoptyalism
Ptyalism
Xerostomia
Excludes2: dry mouth NOS (R68.2)
K11.8 Other diseases of salivary glands
Benign lymphoepithelial lesion of salivary gland
Mikulicz' disease
Necrotizing sialometaplasia
Sialectasia
Stenosis of salivary duct
Stricture of salivary duct
Excludes1: Sjögren syndrome (M35.0-)
K11.9 Disease of salivary gland, unspecified
Sialoadenopathy NOS
K12 Stomatitis and related lesions
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes1: cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)
K12.0 Recurrent oral aphthae
Aphthous stomatitis (major) (minor)
Bednar's aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis
K12.1 Other forms of stomatitis
Stomatitis NOS
Denture stomatitis
Ulcerative stomatitis
Vesicular stomatitis
Excludes1: acute necrotizing ulcerative stomatitis (A69.1)
Vincent's stomatitis (A69.1)
K12.2 Cellulitis and abscess of mouth
Cellulitis of mouth (floor)
Submandibular abscess
Excludes2: abscess of salivary gland (K11.3)
abscess of tongue (K14.0)
periapical abscess (K04.6-K04.7)
periodontal abscess (K05.21)
peritonsillar abscess (J36)
K12.3 Oral mucositis (ulcerative)
Mucositis (oral) (oropharyneal)
Excludes2: gastrointestinal mucositis (ulcerative) (K92.81)
mucositis (ulcerative) of vagina and vulva (N76.81)
nasal mucositis (ulcerative) (J34.81)
K12.30 Oral mucositis (ulcerative), unspecified
K12.31 Oral mucositis (ulcerative) due to antineoplastic therapy
Use additional code for adverse effect, if applicable, to identify antineoplastic and immunosuppressive
drugs (T45.1X5)
Use additional code for other antineoplastic therapy, such as:
radiological procedure and radiotherapy (Y84.2)
K12.32 Oral mucositis (ulcerative) due to other drugs
Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth
character 5)
K12.33 Oral mucositis (ulcerative) due to radiation
Use additional external cause code (W88-W90, X39.0-) to identify cause
K12.39 Other oral mucositis (ulcerative)
Viral oral mucositis (ulcerative)
K13 Other diseases of lip and oral mucosa
Includes: epithelial disturbances of tongue
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2: certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)
K13.0 Diseases of lips
Abscess of lips
Angular cheilitis
Cellulitis of lips
Cheilitis NOS
Cheilodynia
Cheilosis
Exfoliative cheilitis
Fistula of lips
Glandular cheilitis
Hypertrophy of lips
Perlèche NEC
Excludes1: ariboflavinosis (E53.0)
cheilitis due to radiation-related disorders (L55-L59)
congenital fistula of lips (Q38.0)
congenital hypertrophy of lips (Q18.6)
Perlèche due to candidiasis (B37.83)
Perlèche due to riboflavin deficiency (E53.0)
K13.1 Cheek and lip biting
K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue
Excludes1: carcinoma in situ of oral epithelium (D00.0-)
hairy leukoplakia (K13.3)
K13.21 Leukoplakia of oral mucosa, including tongue
Leukokeratosis of oral mucosa
Leukoplakia of gingiva, lips, tongue
Excludes1: hairy leukoplakia (K13.3)
leukokeratosis nicotina palati (K13.24)
K13.22 Minimal keratinized residual ridge mucosa
Minimal keratinization of alveolar ridge mucosa
K13.23 Excessive keratinized residual ridge mucosa
Excessive keratinization of alveolar ridge mucosa
K13.24 Leukokeratosis nicotina palati
Smoker's palate
K13.29 Other disturbances of oral epithelium, including tongue
Erythroplakia of mouth or tongue
Focal epithelial hyperplasia of mouth or tongue
Leukoedema of mouth or tongue
Other oral epithelium disturbances
K13.3 Hairy leukoplakia
K13.4 Granuloma and granuloma-like lesions of oral mucosa
Eosinophilic granuloma
Granuloma pyogenicum
Verrucous xanthoma
K13.5 Oral submucous fibrosis
Submucous fibrosis of tongue
K13.6 Irritative hyperplasia of oral mucosa
Excludes2: irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)
K13.7 Other and unspecified lesions of oral mucosa
K13.70 Unspecified lesions of oral mucosa
K13.79 Other lesions of oral mucosa
Focal oral mucinosis
K14 Diseases of tongue
Use additional code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
Excludes2: erythroplakia (K13.29)
focal epithelial hyperplasia (K13.29)
leukedema of tongue (K13.29)
leukoplakia of tongue (K13.21)
hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)
K14.0 Glossitis
Abscess of tongue
Ulceration (traumatic) of tongue
Excludes1: atrophic glossitis (K14.4)
K14.1 Geographic tongue
Benign migratory glossitis
Glossitis areata exfoliativa
K14.2 Median rhomboid glossitis
K14.3 Hypertrophy of tongue papillae
Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra
K14.4 Atrophy of tongue papillae
Atrophic glossitis
K14.5 Plicated tongue
Fissured tongue
Furrowed tongue
Scrotal tongue
Excludes1: fissured tongue, congenital (Q38.3)
K14.6Glossodynia
Glossopyrosis
Painful tongue
K14.8 Other diseases of tongue
Atrophy of tongue
Crenated tongue
Enlargement of tongue
Glossocele
Glossoptosis
Hypertrophy of tongue
K14.9 Disease of tongue, unspecified
Glossopathy NOS

F45.8 BRUXISM

M26 Dentofacial anomalies [including malocclusion]

M26.0 Major anomalies of jaw size
Excludes1: acromegaly (E22.0)
Robin's syndrome (Q87.0)
M26.00 Unspecified anomaly of jaw size
M26.01 Maxillary hyperplasia
M26.02 Maxillary hypoplasia
M26.03 Mandibular hyperplasia
M26.04 Mandibular hypoplasia
M26.05 Macrogenia
M26.06 Microgenia
M26.07 Excessive tuberosity of jaw
Entire maxillary tuberosity
M26.09 Other specified anomalies of jaw size
M26.1 Anomalies of jaw-cranial base relationship
M26.10 Unspecified anomaly of jaw-cranial base relationship
M26.11 Maxillary asymmetry
M26.12 Other jaw asymmetry
M26.19 Other specified anomalies of jaw-cranial base relationship
M26.2 Anomalies of dental arch relationship
M26.20 Unspecified anomaly of dental arch relationship
M26.21 Malocclusion, Angle's class
M26.211 Malocclusion, Angle's class I
Neutro-occlusion
M26.212 Malocclusion, Angle's class II
Disto-occlusion Division I
Disto-occlusion Division II
M26.213 Malocclusion, Angle's class III
Mesio-occlusion
M26.219 Malocclusion, Angle's class, unspecified
M26.22 Open occlusal relationship
M26.220 Open anterior occlusal relationship
Anterior open bite
M26.221 Open posterior occlusal relationship
Posterior open bite
M26.23 Excessive horizontal overlap
Excessive horizontal overjet
M26.24 Reverse articulation
Crossbite (anterior) (posterior)
M26.25 Anomalies of interarch distance
M26.29 Other anomalies of dental arch relationship
Midline deviation of dental arch
Overbite (excessive) deep
Overbite (excessive) horizontal
Overbite (excessive) vertical
Posterior lingual occlusion of mandibular teeth
M26.3 Anomalies of tooth position of fully erupted tooth or teeth
Excludes2: embedded and impacted teeth (K01.-)
M26.30 Unspecified anomaly of tooth position of fully erupted tooth or teeth
Abnormal spacing of fully erupted tooth or teeth NOS
Displacement of fully erupted tooth or teeth NOS
Transposition of fully erupted tooth or teeth NOS
M26.31 Crowding of fully erupted teeth
M26.32 Excessive spacing of fully erupted teeth
Diastema of fully erupted tooth or teeth NOS
M26.33 Horizontal displacement of fully erupted tooth or teeth
Tipped tooth or teeth
Tipping of fully erupted tooth
M26.34 Vertical displacement of fully erupted tooth or teeth
Extruded tooth
Infraeruption of tooth or teeth
Supraeruption of tooth or teeth
M26.35 Rotation of fully erupted tooth or teeth
M26.36 Insufficient interocclusal distance of fully erupted teeth (ridge)
Lack of adequate intermaxillary vertical dimension of fully erupted teeth
M26.37 Excessive interocclusal distance of fully erupted teeth
Excessive intermaxillary vertical dimension of fully erupted teeth
Loss of occlusal vertical dimension of fully erupted teeth
M26.39 Other anomalies of tooth position of fully erupted tooth or teeth
M26.4 Malocclusion, unspecified
M26.5 Dentofacial functional abnormalities
Excludes1: bruxism (F45.8)
teeth-grinding NOS (F45.8)
M26.50 Dentofacial functional abnormalities, unspecified
M26.51 Abnormal jaw closure
M26.52 Limited mandibular range of motion
M26.53 Deviation in opening and closing of the mandible
M26.54 Insufficient anterior guidance
Insufficient anterior occlusal guidance
M26.55 Centric occlusion maximum intercuspation discrepancy
Excludes1: centric occlusion NOS (M26.59)
M26.56 Non-working side interference
Balancing side interference
M26.57 Lack of posterior occlusal support
M26.59 Other dentofacial functional abnormalities
Centric occlusion (of teeth) NOS
Malocclusion due to abnormal swallowing
Malocclusion due to mouth breathing
Malocclusion due to tongue, lip or finger habits
M26.6 Temporomandibular joint disorders
Excludes2: current temporomandibular joint dislocation (S03.0)
current temporomandibular joint sprain (S03.4)
M26.60 Temporomandibular joint disorder, unspecified
M26.601 Right temporomandibular joint disorder, unspecified
M26.602 Left temporomandibular joint disorder, unspecified
M26.603 Bilateral temporomandibular joint disorder, unspecified
M26.609 Unspecified temporomandibular joint disorder, unspecified side
Temporomandibular joint disorder NOS
M26.61 Adhesions and ankylosis of temporomandibular joint
M26.611 Adhesions and ankylosis of right temporomandibular joint
M26.612 Adhesions and ankylosis of left temporomandibular joint
M26.613 Adhesions and ankylosis of bilateral temporomandibular joint
M26.619 Adhesions and ankylosis of temporomandibular joint, unspecified side
M26.62 Arthralgia of temporomandibular joint
M26.621 Arthralgia of right temporomandibular joint
M26.622 Arthralgia of left temporomandibular joint
M26.623 Arthralgia of bilateral temporomandibular joint
M26.629 Arthralgia of temporomandibular joint, unspecified side
M26.63 Articular disc disorder of temporomandibular joint
M26.631 Articular disc disorder of right temporomandibular joint
M26.632 Articular disc disorder of left temporomandibular joint
M26.633 Articular disc disorder of bilateral temporomandibular joint
M26.639 Articular disc disorder of temporomandibular joint, unspecified side
M26.64 Arthritis of temporomandibular joint
M26.641 Arthritis of right temporomandibular joint
M26.642 Arthritis of left temporomandibular joint
M26.643 Arthritis of bilateral temporomandibular joint
M26.649 Arthritis of unspecified temporomandibular joint
M26.65 Arthropathy of temporomandibular joint
M26.651 Arthropathy of right temporomandibular joint
M26.652 Arthropathy of left temporomandibular joint
M26.653 Arthropathy of bilateral temporomandibular joint
M26.659 Arthropathy of unspecified temporomandibular joint
M26.69 Other specified disorders of temporomandibular joint
M26.7 Dental alveolar anomalies
M26.70 Unspecified alveolar anomaly
M26.71 Alveolar maxillary hyperplasia
M26.72 Alveolar mandibular hyperplasia
M26.73 Alveolar maxillary hypoplasia
M26.74 Alveolar mandibular hypoplasia
M26.79 Other specified alveolar anomalies
M26.8 Other dentofacial anomalies
M26.81 Anterior soft tissue impingement
Anterior soft tissue impingement on teeth
M26.82 Posterior soft tissue impingement
Posterior soft tissue impingement on teeth
M26.89 Other dentofacial anomalies
M26.9 Dentofacial anomaly, unspecified
M27 Other diseases of jaws
M27.0 Developmental disorders of jaws
Latent bone cyst of jaw
Stafne's cyst
Torus mandibularis
Torus palatinus
M27.1 Giant cell granuloma, central
Giant cell granuloma NOS
Excludes1: peripheral giant cell granuloma (K06.8)
M27.2 Inflammatory conditions of jaws
Osteitis of jaw(s)
Osteomyelitis (neonatal) jaw(s)
Osteoradionecrosis jaw(s)
Periostitis jaw(s)
Sequestrum of jaw bone
Use additional code (W88-W90, X39.0) to identify radiation, if radiation-induced
Excludes2: osteonecrosis of jaw due to drug (M87.180)
M27.3 Alveolitis of jaws
Alveolar osteitis
Dry socket
M27.4 Other and unspecified cysts of jaw
Excludes1: cysts of oral region (K09.-)
latent bone cyst of jaw (M27.0)
Stafne's cyst (M27.0)
M27.40 Unspecified cyst of jaw
Cyst of jaw NOS
M27.49 Other cysts of jaw
Aneurysmal cyst of jaw
Hemorrhagic cyst of jaw
Traumatic cyst of jaw
M27.5 Periradicular pathology associated with previous endodontic treatment
M27.51 Perforation of root canal space due to endodontic treatment
M27.52 Endodontic overfill
M27.53 Endodontic underfill
M27.59 Other periradicular pathology associated with previous endodontic treatment
M27.6 Endosseous dental implant failure
M27.61 Osseointegration failure of dental implant
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
M27.62 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
Iatrogenic post-osseointegration failure of dental implant
Post-osseointegration failure of dental implant due to complications of systemic disease
M27.63 Post-osseointegration mechanical failure of dental implant
Failure of dental prosthesis causing loss of dental implant
Fracture of dental implant
Excludes2: cracked tooth (K03.81)
fractured dental restorative material with loss of material (K08.531)
fractured dental restorative material without loss of material (K08.530)
fractured tooth (S02.5)
M27.69 Other endosseous dental implant failure
Dental implant failure NOS
M27.8 Other specified diseases of jaws
Cherubism
Exostosis
Fibrous dysplasia
Unilateral condylar hyperplasia
Unilateral condylar hypoplasia
Excludes1: jaw pain (R68.84)
M27.9 Disease of jaws, unspecified

Z48.0 Encounter for attention to dressings, sutures and drains

Excludes1: encounter for planned postprocedural wound closure (Z48.1)
Z48.00 Encounter for change or removal of nonsurgical wound dressing
Encounter for change or removal of wound dressing NOS
Z48.01 Encounter for change or removal of surgical wound dressing
Z48.02 Encounter for removal of sutures
Encounter for removal of staples
Z48.03 Encounter for change or removal of drains
Z48.1 Encounter for planned postprocedural wound closure
Z48.814 Encounter for surgical aftercare following surgery on the teeth or oral cavity

Z46.3 Encounter for fitting and adjustment of dental prosthetic device

Z46.4 Encounter for fitting and adjustment of orthodontic device

S02.4 Fracture of malar, maxillary and zygoma bones

Fracture of superior maxilla
Fracture of upper jaw (bone)
Fracture of zygomatic process of temporal bone
S02.40 Fracture of malar, maxillary and zygoma bones, unspecified
S02.400 Malar fracture, unspecified side
S02.401 Maxillary fracture, unspecified side
S02.402 Zygomatic fracture, unspecified side
S02.40A Malar fracture, right side
S02.40B Malar fracture, left side
S02.40C Maxillary fracture, right side
S02.40D Maxillary fracture, left side
S02.40E Zygomatic fracture, right side
S02.40F Zygomatic fracture, left side
S02.41 LeFort fracture
S02.411 LeFort I fracture
S02.412 LeFort II fracture
S02.413 LeFort III fracture
S02.42 Fracture of alveolus of maxilla
S02.5 Fracture of tooth (traumatic)
Broken tooth
Excludes1: cracked tooth (nontraumatic) (K03.81)
S02.6 Fracture of mandible
Fracture of lower jaw (bone)
S02.60 Fracture of mandible, unspecified
S02.600 Fracture of unspecified part of body of mandible, unspecified side
S02.601 Fracture of unspecified part of body of right mandible
S02.602 Fracture of unspecified part of body of left mandible
S02.609 Fracture of mandible, unspecified
S02.61 Fracture of condylar process of mandible
S02.610 Fracture of condylar process of mandible, unspecified side
S02.611 Fracture of condylar process of right mandible
S02.612 Fracture of condylar process of left mandible
S02.62 Fracture of subcondylar process of mandible
S02.620 Fracture of subcondylar process of mandible, unspecified side
S02.621 Fracture of subcondylar process of right mandible
S02.622 Fracture of subcondylar process of left mandible
S02.63 Fracture of coronoid process of mandible
S02.630 Fracture of coronoid process of mandible, unspecified side
S02.631 Fracture of coronoid process of right mandible
S02.632 Fracture of coronoid process of left mandible
S02.64 Fracture of ramus of mandible
S02.640 Fracture of ramus of mandible, unspecified side
S02.641 Fracture of ramus of right mandible
S02.642 Fracture of ramus of left mandible
S02.65 Fracture of angle of mandible
S02.650 Fracture of angle of mandible, unspecified side
S02.651 Fracture of angle of right mandible
S02.652 Fracture of angle of left mandible
S02.66 Fracture of symphysis of mandible
S02.67 Fracture of alveolus of mandible
S02.670 Fracture of alveolus of mandible, unspecified side
S02.671 Fracture of alveolus of right mandible
S02.672 Fracture of alveolus of left mandible
S02.69 Fracture of mandible of other specified site

S03.0 Dislocation of jaw

Dislocation of jaw (cartilage) (meniscus)
Dislocation of mandible
Dislocation of temporomandibular (joint)
S03.00 Dislocation of jaw, unspecified side
S03.01 Dislocation of jaw, right side
S03.02 Dislocation of jaw, left side
S03.03 Dislocation of jaw, bilateral

S03.2 Dislocation of tooth