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 CodesK03.4

K03.4

Billable

Hypercementosis

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

Code Description

ICD-10 K03.4 is a billable code used to indicate a diagnosis of hypercementosis.

Key Diagnostic Point:

Hypercementosis is a dental condition characterized by excessive deposition of cementum on the roots of teeth, leading to thickened roots. This condition can be asymptomatic but may result in dental complications such as root fractures or periodontal issues. The anatomy involved primarily includes the dental roots, cementum, and surrounding periodontal tissues. Disease progression can vary; while some individuals may remain asymptomatic, others may experience pain or mobility issues in affected teeth. Diagnostic considerations include clinical examination, radiographic evaluation, and patient history to rule out other conditions such as periodontal disease or dental trauma. Hypercementosis can be associated with systemic conditions such as Paget's disease or may occur idiopathically. It is essential for healthcare providers to differentiate hypercementosis from other dental pathologies to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis from other dental conditions.
  • Treatment complexity: Management may involve dental interventions or monitoring.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires accurate coding to reflect the condition's nature.

Audit Risk Factors

  • Common coding errors: Misclassification with other dental conditions.
  • Documentation gaps: Incomplete clinical notes may lead to coding inaccuracies.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Hypercementosis can significantly impact dental health, leading to complications such as tooth mobility and increased risk of fractures. Understanding its prevalence and implications is essential for population health management. Quality measures should focus on early diagnosis and appropriate treatment to minimize healthcare utilization. Epidemiologically, hypercementosis may be more prevalent in certain populations, necessitating targeted awareness and preventive strategies.

ICD-9 vs ICD-10

Hypercementosis can significantly impact dental health, leading to complications such as tooth mobility and increased risk of fractures. Understanding its prevalence and implications is essential for population health management. Quality measures should focus on early diagnosis and appropriate treatment to minimize healthcare utilization. Epidemiologically, hypercementosis may be more prevalent in certain populations, necessitating targeted awareness and preventive strategies.

Reimbursement & Billing Impact

impact on dental health and any interventions performed. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for procedures related to hypercementosis. It is crucial to follow payer-specific guidelines for reimbursement and to maintain accurate coding practices to avoid audits.

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 K03.4?

K03.4 specifically covers hypercementosis, which may occur as a primary condition or secondary to systemic diseases such as Paget's disease or chronic inflammation. It is essential to document the underlying cause if known.

When should K03.4 be used instead of related codes?

K03.4 should be used when there is clear evidence of hypercementosis, particularly when it is the primary diagnosis affecting treatment. If the condition is part of a broader dental issue, other codes may be more appropriate.

What documentation supports K03.4?

Documentation should include clinical findings, radiographic evidence showing root cementum thickening, and any relevant patient history. Detailed notes on the patient's symptoms and treatment plan are also necessary.