Principal Diagnosis - Pdx
- A69.0 Necrotizing ulcerative stomatitis
- B00.2 Herpesviral gingivostomatitis and pharyngotonsillitis
- B37.0 Candidal stomatitis
- B37.83 Candidal cheilitis
- D10.0 Benign neoplasm of lip
- D10.1 Benign neoplasm of tongue
- D10.2 Benign neoplasm of floor of mouth
- D10.30 Benign neoplasm of unspecified part of mouth
- D10.39 Benign neoplasm of other parts of mouth
- D16.5 Benign neoplasm of lower jaw bone
- K00.0 Anodontia
- K00.1 Supernumerary teeth
- K00.2 Abnormalities of size and form of teeth
- K00.3 Mottled teeth
- K00.4 Disturbances in tooth formation
- K00.5 Hereditary disturbances in tooth structure, not elsewhere classified
- K00.6 Disturbances in tooth eruption
- K00.7 Teething syndrome
- K00.8 Other disorders of tooth development
- K00.9 Disorder of tooth development, unspecified
- K01.0 Embedded teeth
- K01.1 Impacted teeth
- K02.3 Arrested dental caries
- K02.51 Dental caries on pit and fissure surface limited to enamel
- K02.52 Dental caries on pit and fissure surface penetrating into dentin
- K02.53 Dental caries on pit and fissure surface penetrating into pulp
- K02.61 Dental caries on smooth surface limited to enamel
- 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
- K03.0 Excessive attrition of teeth
- K03.1 Abrasion of teeth
- K03.2 Erosion of teeth
- K03.3 Pathological resorption of teeth
- K03.4 Hypercementosis
- K03.5 Ankylosis of teeth
- K03.6 Deposits [accretions] on teeth
- K03.7 Posteruptive color changes of dental hard tissues
- K03.81 Cracked tooth
- K03.89 Other specified diseases of hard tissues of teeth
- K03.9 Disease of hard tissues of teeth, unspecified
- K04.01 Reversible pulpitis
- K04.02 Irreversible pulpitis
- K04.1 Necrosis of pulp
- K04.2 Pulp degeneration
- K04.3 Abnormal hard tissue formation in pulp
- K04.4 Acute apical periodontitis of pulpal origin
- K04.5 Chronic apical periodontitis
- K04.6 Periapical abscess with sinus
- K04.7 Periapical abscess without sinus
- K04.8 Radicular cyst
- K04.90 Unspecified diseases of pulp and periapical tissues
- K04.99 Other diseases of pulp and periapical tissues
- K05.00 Acute gingivitis, plaque induced
- K05.01 Acute gingivitis, non-plaque induced
- K05.10 Chronic gingivitis, plaque induced
- K05.11 Chronic gingivitis, non-plaque induced
- K05.20 Aggressive periodontitis, unspecified
- 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
- K05.221 Aggressive periodontitis, generalized, slight
- K05.222 Aggressive periodontitis, generalized, moderate
- K05.223 Aggressive periodontitis, generalized, severe
- K05.229 Aggressive periodontitis, generalized, unspecified severity
- K05.30 Chronic periodontitis, unspecified
- 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
- K05.321 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
- K05.5 Other periodontal diseases
- K05.6 Periodontal disease, unspecified
- K06.010 Localized gingival recession, unspecified
- K06.011 Localized gingival recession, minimal
- K06.012 Localized gingival recession, moderate
- K06.013 Localized gingival recession, severe
- K06.020 Generalized gingival recession, unspecified
- K06.021 Generalized gingival recession, minimal
- K06.022 Generalized gingival recession, moderate
- K06.023 Generalized gingival recession, severe
- K06.1 Gingival enlargement
- K06.2 Gingival and edentulous alveolar ridge lesions associated with trauma
- K06.3 Horizontal alveolar bone loss
- K06.8 Other specified disorders of gingiva and edentulous alveolar ridge
- K06.9 Disorder of gingiva and edentulous alveolar ridge, unspecified
- K08.0 Exfoliation of teeth due to systemic causes
- 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
- K08.111 Complete loss of teeth due to trauma, class I
- K08.112 Complete loss of teeth due to trauma, class II
Operating / Non-Operating Room Procedures
There are no procedure / surgical codes for MS-DRG 158