International Statistical Classification of Diseases and Related Health

Problems 10th Revision (ICD-10) Version for 2010

Chapter XI
Diseases of the digestive system
(K00-K93)

Diseases of oral cavity, salivary glands and jaws

(K00-K14)

K00Disorders of tooth development and eruption

Excl.:
embedded and impacted teeth (K01.-)

K00.0Anodontia
Hypodontia
Oligodontia

K00.1Supernumerary teeth
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth

K00.2Abnormalities of size and form of teeth

 Concrescence  of teeth
 Fusion
  Gemination

Dens:

 evaginatus
 in dente
 invaginatus

Enamel pearls
Macrodontia
Microdontia
Peg-shaped [conical] teeth
Taurodontism
Tuberculum paramolare
Excl.:
tuberculum Carabelli, which is regarded as a normal variation and should not be coded

K00.3Mottled teeth
Dental fluorosis
Mottling of enamel
Nonfluoride enamel opacities
Excl.:
deposits [accretions] on teeth (K03.6)

K00.4Disturbances in tooth formation

Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)(prenatal)
Regional odontodysplasia
Turner tooth
 Excl.:
Hutchinson teeth and mulberry molars in congenital syphilis (A50.5)
mottled teeth (K00.3)

K00.5Hereditary disturbances in tooth structure, not elsewhere classified

 Amelogenesis
 Dentinogenesis  imperfecta
 Odontogenesis

Dentinal dysplasia
Shell teeth

K00.6Disturbances in tooth eruption

Dentia praecox
 Natal
 tooth
 Neonatal

Premature:

 eruption of tooth
 shedding of primary [deciduous] tooth

Retained [persistent] primary tooth

K00.7Teething syndrome

K00.8Other disorders of tooth development

Colour changes during tooth formation
Intrinsic staining of teeth NOS

K00.9Disorder of tooth development, unspecified

 Disorder of odontogenesis NOS

K01Embedded and impacted teeth

Excl.:
embedded and impacted teeth with abnormal position of such teeth or adjacent teeth (K07.3)

K01.0Embedded teeth
An embedded tooth is a tooth that has failed to erupt without obstruction by another tooth.

K01.1Impacted teeth
An impacted tooth is a tooth that has failed to erupt because of obstruction by another tooth.

K02Dental caries

K02.0Caries limited to enamel

White spot lesions [initial caries]

K02.1Caries of dentine

K02.2Caries of cementum

K02.3Arrested dental caries

K02.4Odontoclasia
Infantile melanodontia
Melanodontoclasia

K02.8Other dental caries

K02.9Dental caries, unspecified

K03Other diseases of hard tissues of teeth
Excl.:
bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)

K03.0Excessive attrition of teeth

 Wear:
 approximal  of teeth
 occlusal

K03.1Abrasion of teeth
 Abrasion:
 dentifrice
 habitual
 occupational  of teeth
 ritual
 traditional
 Wedge defect NOS

K03.2Erosion of teeth
Erosion of teeth:

 NOS
 due to:
o diet
o drugs and medicaments
o persistent vomiting
  idiopathic
 occupational

K03.3Pathological resorption of teeth

Internal granuloma of pulp
Resorption of teeth (external)

K03.4Hypercementosis
Cementation hyperplasia

K03.5Ankylosis of teeth

K03.6Deposits [accretions] on teeth

Dental calculus:

 subgingival
 supragingival

Deposits [accretions] on teeth:

 betel
 black
 green
 materia alba
 orange
 tobacco

Staining of teeth:

 NOS
 extrinsic NOS
K03.7Posteruptive colour changes of dental hard tissues
Excl.:
deposits [accretions] on teeth (K03.6)

K03.8Other specified diseases of hard tissues of teeth

Irradiated enamel
Sensitive dentine

Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced.

K03.9Disease of hard tissues of teeth, unspecified

K04Diseases of pulp and periapical tissues

K04.0Pulpitis
Pulpitis:

 NOS
 acute
 chronic (hyperplastic)(ulcerative)
 irreversible
 reversible

K04.1Necrosis of pulp
Pulpal gangrene

K04.2Pulp degeneration
Denticles
Pulpal:

 calcifications
  stones

K04.3Abnormal hard tissue formation in pulp

Secondary or irregular dentine

K04.4Acute apical periodontitis of pulpal origin

Acute apical periodontitis NOS

K04.5Chronic apical periodontitis

Apical or periapical granuloma
Apical periodontitis NOS

K04.6Periapical abscess with sinus

 Dental
 abscess with sinus
 Dentoalveolar

K04.7Periapical abscess without sinus

 Dental
 Dentoalveolar  abscess NOS
 Periapical

K04.8Radicular cyst
Cyst:

 apical (periodontal)
 periapical
 residual radicular

Excl.:
 lateral periodontal cyst (K09.0)

K04.9Other and unspecified diseases of pulp and periapical tissues

K05Gingivitis and periodontal diseases

K05.0Acute gingivitis
Excl.:
acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)

K05.1Chronic gingivitis
Gingivitis (chronic):

 NOS
 desquamative
 hyperplastic
 simple marginal
 ulcerative

K05.2Acute periodontitis
Acute pericoronitis
Parodontal abscess
Periodontal abscess
Excl.:
acute apical periodontitis (K04.4)
periapical abscess (K04.7)
periapical abscess with sinus (K04.6)

K05.3Chronic periodontitis
 Chronic pericoronitis
Periodontitis:

 NOS
 complex
 simplex

K05.4Periodontosis
Juvenile periodontosis

K05.5Other periodontal diseases

K05.6Periodontal disease, unspecified

K06Other disorders of gingiva and edentulous alveolar ridge

Excl.:
atrophy of edentulous alveolar ridge (K08.2)
gingivitis:

 NOS (K05.1)
 acute (K05.0)
 chronic (K05.1)

K06.0Gingival recession
Gingival recession (generalized)(localized)(postinfective)(post-operative)

K06.1Gingival enlargement
Gingival fibromatosis

K06.2Gingival and edentulous alveolar ridge lesions associated with trauma

Irritative hyperplasia of edentulous ridge [denture hyperplasia]
 Use additional external cause code (Chapter XX), if desired, to identify cause.

K06.8Other specified disorders of gingiva and edentulous alveolar ridge

Fibrous epulis
Flabby ridge
Giant cell epulis
Peripheral giant cell granuloma
Pyogenic granuloma of gingiva

K06.9Disorder of gingiva and edentulous alveolar ridge, unspecified

K07Dentofacial anomalies [including malocclusion]

Excl.:
hemifacial atrophy or hypertrophy (Q67.4)
unilateral condylar hyperplasia or hypoplasia (K10.8)

K07.0Major anomalies of jaw size

Hyperplasia, hypoplasia:

 mandibular
 maxillary

Macrognathism (mandibular)(maxillary)
Micrognathism (mandibular)(maxillary)
Excl.:
acromegaly (E22.0)
Robin syndrome (Q87.0)

K07.1Anomalies of jaw-cranial base relationship

Asymmetry of jaw
 Prognathism (mandibular)(maxillary)
Retrognathism (mandibular)(maxillary)

K07.2Anomalies of dental arch relationship

Crossbite (anterior)(posterior)
Disto-occlusion
Mesio-occlusion
Midline deviation of dental arch
Openbite (anterior)(posterior)
Overbite (excessive):

 deep
 horizontal
 vertical

Overjet
Posterior lingual occlusion of mandibular teeth

K07.3Anomalies of tooth position

 Crowding
 Diastema
 Displacement
 of tooth or teeth
 Rotation
 Spacing, abnormal
 Transposition

Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth
Excl.:
embedded and impacted teeth without abnormal position (K01.-)
K07.4Malocclusion, unspecified

K07.5Dentofacial functional abnormalities

Abnormal jaw closure
Malocclusion due to:

 abnormal swallowing
 mouth breathing
 tongue, lip or finger habits

Excl.:
bruxism (F45.8)
teeth-grinding NOS (F45.8)

K07.6Temporomandibular joint disorders

Costen complex or syndrome
Derangement of temporomandibular joint
Snapping jaw
Temporomandibular joint-pain-dysfunction syndrome
Excl.:
current temporomandibular joint:

 dislocation (S03.0)
 strain (S03.4)

K07.8Other dentofacial anomalies

K07.9Dentofacial anomaly, unspecified

K08Other disorders of teeth and supporting structures

K08.0Exfoliation of teeth due to systemic causes

K08.1Loss of teeth due to accident, extraction or local periodontal disease

K08.2Atrophy of edentulous alveolar ridge

K08.3Retained dental root

K08.8Other specified disorders of teeth and supporting structures

Enlargement of alveolar ridge NOS
Irregular alveolar process
Toothache NOS

K08.9Disorder of teeth and supporting structures, unspecified

K09Cysts of oral region, not elsewhere classified

Incl.:
lesions showing histological features both of aneurysmal cyst and of another fibro-osseous lesion
Excl.:
radicular cyst (K04.8)

K09.0Developmental odontogenic cysts

Cyst:

 dentigerous
 eruption
 follicular
 gingival
 lateral periodontal
 primordial
K09.1Developmental (nonodontogenic) cysts of oral region
Cyst (of):

 globulomaxillary
 incisive canal
 median palatal
 nasopalatine
 palatine papilla

K09.2Other cysts of jaw

Cyst of jaw:

 NOS
 aneurysmal
 haemorrhagic
 traumatic

Excl.:
latent bone cyst of jaw (K10.0)
Stafne cyst (K10.0)

K09.8Other cysts of oral region, not elsewhere classified

 Dermoid cyst
 Epidermoid cyst  of mouth
 Lymphoepithelial cyst

Epstein pearl
Nasoalveolar cyst
Nasolabial cyst
K09.9Cyst of oral region, unspecified

K10Other diseases of jaws

K10.0Developmental disorders of jaws

Latent bone cyst of jaw
Stafne cyst
Torus:

 mandibularis
 palatinus

K10.1Giant cell granuloma, central

Giant cell granuloma NOS
Excl.:
peripheral giant cell granuloma (K06.8)

K10.2Inflammatory conditions of jaws

 Osteitis
 Osteomyelitis (neonatal)
 of jaw (acute)(chronic)(suppurative)
 Osteoradionecrosis
 Periostitis

Sequestrum of jaw bone

Use additional external cause code (Chapter XX), if desired, to identify radiation, if radiation-induced.

K10.3Alveolitis of jaws
Alveolar osteitis
Dry socket
K10.8Other specified diseases of jaws
Cherubism
 Exostosis
 of jaw
 Fibrous dysplasia

Unilateral condylar:

 hyperplasia
 hypoplasia

K10.9Disease of jaws, unspecified

K11Diseases of salivary glands

K11.0Atrophy of salivary gland

K11.1Hypertrophy of salivary gland

K11.2Sialoadenitis
Excl.:
epidemic parotitis (B26.-)
uveoparotid fever [Heerfordt] (D86.8)

K11.3Abscess of salivary gland

K11.4Fistula of salivary gland

Excl.:
congenital fistula of salivary gland (Q38.4)

K11.5Sialolithiasis
  Calculus
 of salivary gland or duct
 Stone

K11.6Mucocele of salivary gland

 Mucous:
 extravasation cyst  of salivary gland
 retention cyst

Ranula

K11.7Disturbances of salivary secretion

Hypoptyalism
Ptyalism
Xerostomia
Excl.:
dry mouth NOS (R68.2)

K11.8Other diseases of salivary glands

Benign lymphoepithelial lesion of salivary gland
Mikulicz disease
Necrotizing sialometaplasia
Sialectasia
 Stenosis
 of salivary duct
 Stricture

Excl.:
sicca syndrome [Sjögren] (M35.0)

K11.9Disease of salivary gland, unspecified

 Sialoadenopathy NOS

K12Stomatitis and related lesions

Excl.:
cancrum oris (A69.0)
cheilitis (K13.0)
gangrenous stomatitis (A69.0)
herpesviral [herpes simplex] gingivostomatitis (B00.2)
noma (A69.0)

K12.0Recurrent oral aphthae

Aphthous stomatitis (major)(minor)
Bednar aphthae
Periadenitis mucosa necrotica recurrens
Recurrent aphthous ulcer
Stomatitis herpetiformis

K12.1Other forms of stomatitis

Stomatitis:

 NOS
 denture
 ulcerative
 vesicular

K12.2Cellulitis and abscess of mouth

Cellulitis of mouth (floor)
Submandibular abscess
Excl.:
 abscess (of):

 periapical (K04.6-K04.7)
 periodontal (K05.2)
 peritonsillar (J36)
 salivary gland (K11.3)
 tongue (K14.0)

K12.3Oral mucositis (ulcerative)

Mucositis(oral) (oropharyngeal):

 NOS
 drug-induced
 radiation induced
 viral

Use additional external cause code (Chapter XX), if desired, to identify external agent

Excl.:
mucositis (ulcerative) of:

 nose and nasal sinuses (J34.8)

 vagina and vulva (N76.8)
 gastrointestinal tract (except oral cavity and oropharynx) (K92.8)

K13Other diseases of lip and oral mucosa

Incl.:
epithelial disturbances of tongue
Excl.:
 certain disorders of gingiva and edentulous alveolar ridge (K05-K06)
cysts of oral region (K09.-)
diseases of tongue (K14.-)
stomatitis and related lesions (K12.-)

K13.0Diseases of lips
Cheilitis:

 NOS
 angular
 exfoliative
 glandular

Cheilodynia
Cheilosis
Perlèche NEC
Excl.:
ariboflavinosis (E53.0)
cheilitis due to radiation-related disorders (L55-L59)
perlèche due to:

 candidiasis (B37.8)
 riboflavin deficiency (E53.0)

K13.1Cheek and lip biting

K13.2Leukoplakia and other disturbances of oral epithelium, including tongue

 Erythroplakia
 of oral epithelium, including tongue
 Leukoedema
 Leukokeratosis nicotina palati
Smoker palate
Excl.:
hairy leukoplakia (K13.3)

K13.3Hairy leukoplakia

K13.4Granuloma and granuloma-like lesions of oral mucosa

 Eosinophilic granuloma
 Granuloma pyogenicum  of oral mucosa
 Verrucous xanthoma

K13.5Oral submucous fibrosis

Submucous fibrosis of tongue

K13.6Irritative hyperplasia of oral mucosa

Excl.:
irritative hyperplasia of edentulous ridge [denture hyperplasia] (K06.2)

K13.7Other and unspecified lesions of oral mucosa

Focal oral mucinosis

K14Diseases of tongue
Excl.:
 erythroplakia
 focal epithelial hyperplasia
 of tongue (K13.2)
 leukoedema
 leukoplakia
 hairy leukoplakia (K13.3)
macroglossia (congenital) (Q38.2)
submucous fibrosis of tongue (K13.5)

K14.0Glossitis
 Abscess
 of tongue
 Ulceration (traumatic)

Excl.:
atrophic glossitis (K14.4)

K14.1Geographic tongue
Benign migratory glossitis
Glossitis areata exfoliativa

K14.2Median rhomboid glossitis

K14.3Hypertrophy of tongue papillae

Black hairy tongue
Coated tongue
Hypertrophy of foliate papillae
Lingua villosa nigra

K14.4Atrophy of tongue papillae

Atrophic glossitis

K14.5Plicated tongue
 Fissured
 Furrowed  tongue
 Scrotal
 Excl.:
fissured tongue, congenital (Q38.3)

K14.6Glossodynia
Glossopyrosis
Painful tongue

K14.8Other diseases of tongue

 Atrophy
 Crenated
 (of) tongue
 Enlargement
 Hypertrophy

K14.9Disease of tongue, unspecified

Glossopathy NOS