ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesK02.3

K02.3

Billable

Arrested dental caries

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K02.3 is a billable code used to indicate a diagnosis of arrested dental caries.

Key Diagnostic Point:

Arrested dental caries, also known as inactive caries, refers to a condition where the progression of dental decay has halted. Clinically, this may present as darkened areas on the tooth surface that are hard and not cavitated. The anatomy involved primarily includes the enamel, dentin, and pulp of the teeth. The disease progression of arrested caries can occur due to various factors, including improved oral hygiene, fluoride exposure, dietary changes, or the natural remineralization process of the tooth. Diagnostic considerations include visual examination, radiographic assessment, and patient history to determine the status of the carious lesions. It is crucial to differentiate arrested caries from active caries, as the management and treatment approaches differ significantly. While arrested caries may not require invasive treatment, monitoring and preventive measures should be emphasized to avoid future decay.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical judgment to differentiate between active and arrested caries.
  • Treatment complexity: Management may vary from observation to preventive measures.
  • Documentation requirements: Detailed documentation of clinical findings and patient history is essential.
  • Coding specificity: Requires accurate coding to reflect the specific condition of the caries.

Audit Risk Factors

  • Common coding errors: Misclassification of arrested caries as active caries.
  • Documentation gaps: Incomplete records regarding the status of carious lesions.
  • Billing challenges: Potential denials if the condition is not clearly documented.

Specialty Focus

Medical Specialties

Dentistry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Oral and Maxillofacial Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K02.3 lies in its role in preventive dentistry, as managing arrested caries can reduce the incidence of more severe dental issues. Population health impact includes lower healthcare costs associated with dental treatments and improved oral health outcomes. Quality measures may focus on the prevention of caries progression, while healthcare utilization patterns may reflect increased emphasis on preventive care and patient education. Epidemiologically, understanding the prevalence of arrested caries can inform public health initiatives aimed at improving oral health.

ICD-9 vs ICD-10

The clinical significance of K02.3 lies in its role in preventive dentistry, as managing arrested caries can reduce the incidence of more severe dental issues. Population health impact includes lower healthcare costs associated with dental treatments and improved oral health outcomes. Quality measures may focus on the prevention of caries progression, while healthcare utilization patterns may reflect increased emphasis on preventive care and patient education. Epidemiologically, understanding the prevalence of arrested caries can inform public health initiatives aimed at improving oral health.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but preventive services such as fluoride treatments and sealants are often covered. Common denials may arise from insufficient documentation or misclassification of the condition. Best practices include thorough documentation of clinical findings, treatment plans, and patient education regarding oral hygiene to prevent future caries.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K02.3?

K02.3 specifically covers cases of arrested dental caries where the decay process has stopped. This includes lesions that are not cavitated and have shown signs of remineralization.

When should K02.3 be used instead of related codes?

K02.3 should be used when there is clear evidence that the carious lesion has ceased to progress. It is important to differentiate it from active caries (K02.1) or other dental conditions.

What documentation supports K02.3?

Documentation should include clinical findings from examinations, radiographic evidence showing no progression of decay, and a treatment plan that reflects the management of arrested caries.