A pipe damage detection apparatus and method are disclosed. The pipe damage detection apparatus includes an ultrasonic supply unit configured to supply an ultrasonic signal to a pipe; an ultrasonic reception unit configured to receive the ultrasonic signal of the pipe; and an analysis unit configured to analyze the ultrasonic signal received by the ultrasonic reception unit, and determine whether the pipe is damaged. The pipe damage detection apparatus and method can detect whether a pipe that is difficult for an inspector to access because it is coated with an insulating material or buried in the ground is damaged.