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ICD-10 Guide
ICD-10 CodesK08.102

K08.102

Billable

Complete loss of teeth, unspecified cause, class II

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

Code Description

ICD-10 K08.102 is a billable code used to indicate a diagnosis of complete loss of teeth, unspecified cause, class ii.

Key Diagnostic Point:

K08.102 refers to complete loss of teeth due to unspecified causes, classified as Class II. This condition can significantly impact the digestive system, particularly the gastrointestinal tract, as teeth play a crucial role in the mechanical breakdown of food. The loss of teeth can lead to difficulties in chewing, which may result in inadequate food intake, malnutrition, and gastrointestinal disorders such as dysphagia or gastroesophageal reflux disease (GERD). The anatomy involved includes the maxilla and mandible, where the teeth are anchored. Disease progression may vary; some individuals may experience gradual tooth loss due to periodontal disease, while others may lose teeth suddenly due to trauma or systemic conditions. Diagnostic considerations include a thorough dental examination, patient history, and possibly imaging studies to assess the extent of tooth loss and any underlying conditions contributing to the loss. Proper diagnosis is essential for effective treatment planning, which may involve prosthodontics or other restorative dental procedures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires understanding the underlying causes of tooth loss.
  • Treatment complexity: Medium, involving potential referrals to dental specialists for prosthetic solutions.
  • Documentation requirements: Moderate, necessitating detailed patient history and clinical findings.
  • Coding specificity: Medium, as it is important to specify the cause of tooth loss when possible.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes.
  • Documentation gaps: Incomplete patient history or lack of dental examination notes.
  • Billing challenges: Potential denials due to insufficient documentation supporting 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: Gastroenterology

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

The clinical significance of K08.102 lies in its potential to affect overall health and nutrition, as complete tooth loss can lead to dietary restrictions and gastrointestinal issues. The population health impact is notable, particularly among older adults, where tooth loss can correlate with increased healthcare utilization due to complications arising from malnutrition or digestive disorders. Quality measures may include tracking the prevalence of tooth loss and its association with systemic health outcomes, emphasizing the importance of dental care in maintaining overall health.

ICD-9 vs ICD-10

The clinical significance of K08.102 lies in its potential to affect overall health and nutrition, as complete tooth loss can lead to dietary restrictions and gastrointestinal issues. The population health impact is notable, particularly among older adults, where tooth loss can correlate with increased healthcare utilization due to complications arising from malnutrition or digestive disorders. Quality measures may include tracking the prevalence of tooth loss and its association with systemic health outcomes, emphasizing the importance of dental care in maintaining overall health.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed notes that justify the necessity of dental procedures, especially if prosthetic solutions are involved. Common denials may arise from insufficient documentation or failure to demonstrate the medical necessity of treatments. Coders should ensure that all relevant information is captured to support the claim and avoid potential 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 K08.102?

K08.102 encompasses complete loss of teeth from various unspecified causes, including trauma, systemic diseases, or neglect. It does not specify the etiology, which may include periodontal disease, caries, or other dental conditions.

When should K08.102 be used instead of related codes?

K08.102 should be used when the cause of tooth loss is not clearly defined or documented. If the cause is known, such as periodontal disease, a more specific code like K08.101 should be selected.

What documentation supports K08.102?

Documentation should include a comprehensive dental examination, patient history detailing the onset and progression of tooth loss, and any relevant medical history that may contribute to the condition.