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2025 ICD-10-CM code M27.5

Periradicular pathology associated with previous endodontic treatment.

Use M27.5 when the periradicular pathology is specifically associated with previous endodontic treatment. Do not use this code for other jaw disorders or if the pathology is unrelated to prior root canal therapy.

Medical necessity is established by the presence of signs and symptoms of periradicular pathology related to prior endodontic treatment. The documentation should clearly link the current condition to the previous procedure.

Providers diagnose the condition using imaging techniques such as computed tomography (CT scan) and biopsy of the soft tissues. Treatment includes the use of analgesic medications, nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants.

In simple words: This code refers to problems around the root of a tooth that happen after a root canal. It can cause pain, swelling, and trouble chewing. Doctors can diagnose it with x-rays and sometimes a biopsy. Treatment usually involves pain relievers, anti-inflammatory drugs, and muscle relaxants.

Periradicular pathology, a disease condition of the soft and bony tissue surrounding the roots of the teeth, develops due to previous endodontic, or root canal, treatment.It can manifest as inflammatory conditions with symptoms like pain, redness, heat, discomfort, swelling, and difficulty chewing. Diagnosis typically involves imaging techniques such as CT scans and biopsies of the affected soft tissues. Treatment may include analgesic medications, NSAIDs, and muscle relaxants.

Example 1: A patient presents with pain and swelling around a tooth that previously had a root canal. A CT scan reveals periradicular inflammation, and the code M27.5 is assigned., A patient experiences difficulty chewing after undergoing endodontic treatment. Upon examination, the dentist identifies signs of periradicular pathology, and M27.5 is used for billing., A patient reports discomfort and redness in the gums near a tooth that had a root canal several months prior. After ruling out other potential causes, the dentist diagnoses periradicular pathology and uses M27.5.

Documentation should include details of the previous endodontic treatment, the present symptoms, imaging findings (e.g., CT scan results), biopsy results (if performed), and the treatment plan.

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