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 CodesK03.3

K03.3

Billable

Pathological resorption of teeth

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

Code Description

ICD-10 K03.3 is a billable code used to indicate a diagnosis of pathological resorption of teeth.

Key Diagnostic Point:

Pathological resorption of teeth is a condition characterized by the abnormal loss of tooth structure due to various pathological processes. Clinically, it may present as localized or generalized tooth mobility, sensitivity, and changes in the appearance of the teeth. The anatomy involved primarily includes the dental hard tissues, such as enamel, dentin, and cementum, as well as the periodontal ligament. Disease progression can vary; it may be slow and asymptomatic or rapid, leading to significant dental complications. Diagnostic considerations include a thorough clinical examination, radiographic evaluation to assess the extent of resorption, and identifying underlying causes such as systemic diseases, trauma, or inflammatory conditions. It is essential to differentiate pathological resorption from normal physiological processes, such as tooth eruption or exfoliation, to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 K03.3 lies in its potential to lead to tooth loss and other complications if not addressed promptly. Population health impact includes the need for preventive measures and education on dental health to reduce the incidence of pathological resorption. Quality measures may involve tracking treatment outcomes and patient satisfaction. Understanding healthcare utilization patterns can help in resource allocation and improving patient care strategies, while epidemiological considerations highlight the importance of early diagnosis and intervention.

ICD-9 vs ICD-10

The clinical significance of K03.3 lies in its potential to lead to tooth loss and other complications if not addressed promptly. Population health impact includes the need for preventive measures and education on dental health to reduce the incidence of pathological resorption. Quality measures may involve tracking treatment outcomes and patient satisfaction. Understanding healthcare utilization patterns can help in resource allocation and improving patient care strategies, while epidemiological considerations highlight the importance of early diagnosis and intervention.

Reimbursement & Billing Impact

Reimbursement considerations include the need for pre-authorization for certain procedures and ensuring that the documentation supports the medical necessity of the services rendered. Common denials may arise from insufficient documentation or failure to demonstrate the necessity of the treatment. Best practices include maintaining detailed clinical notes, ensuring accurate coding, and staying updated on payer-specific requirements.

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 K03.3?

K03.3 covers conditions such as external and internal resorption of teeth, which may arise from trauma, orthodontic treatment, or systemic diseases like hyperparathyroidism. Diagnostic criteria include clinical signs of resorption and radiographic evidence.

When should K03.3 be used instead of related codes?

K03.3 should be used when there is clear evidence of pathological resorption that is not attributable to normal physiological processes. It is important to differentiate it from other codes that may describe different types of dental conditions.

What documentation supports K03.3?

Documentation should include clinical findings, radiographic images showing the extent of resorption, and any relevant patient history that may indicate underlying causes. Detailed notes on treatment plans and patient responses are also essential.