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ICD-10 Guide
ICD-10 CodesK08.104

K08.104

Billable

Complete loss of teeth, unspecified cause, class IV

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

Code Description

ICD-10 K08.104 is a billable code used to indicate a diagnosis of complete loss of teeth, unspecified cause, class iv.

Key Diagnostic Point:

K08.104 refers to the complete loss of teeth due to unspecified causes, classified as Class IV. This condition can significantly impact an individual's oral health and overall well-being. The loss of teeth can result from various factors, including periodontal disease, trauma, or systemic conditions affecting bone density and oral hygiene. Clinically, patients may present with difficulty in chewing, altered speech, and aesthetic concerns, which can lead to psychological distress. The anatomy involved primarily includes the maxilla and mandible, as well as the supporting structures such as gums and alveolar bone. Disease progression can vary; without intervention, patients may experience further deterioration of oral health, including bone loss and increased risk of other gastrointestinal issues due to impaired nutrition. Diagnostic considerations include a thorough dental examination, radiographic imaging, and assessment of the patient's medical history to determine the underlying cause of tooth loss. Treatment options may include dentures, implants, or other prosthetic solutions to restore function and aesthetics.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as the cause of tooth loss can vary widely and requires thorough evaluation.
  • Treatment complexity: Medium, involving various prosthetic options and potential referrals to dental specialists.
  • Documentation requirements: Moderate, necessitating detailed clinical notes and treatment plans.
  • Coding specificity: Medium, as it requires differentiation from other dental codes related to tooth loss.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes, leading to incorrect coding.
  • Documentation gaps: Insufficient clinical notes regarding the cause and treatment of tooth loss.
  • Billing challenges: Potential denials due to lack of supporting documentation for the necessity of procedures.

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

The clinical significance of K08.104 extends beyond oral health, as complete tooth loss can lead to nutritional deficiencies and gastrointestinal complications due to inadequate food intake. Population health impacts include increased healthcare utilization for dental and gastrointestinal issues. Quality measures may focus on improving access to dental care and preventive services to reduce the incidence of tooth loss. Epidemiologically, the prevalence of complete tooth loss varies by age, socioeconomic status, and access to dental care, highlighting the need for targeted public health interventions.

ICD-9 vs ICD-10

The clinical significance of K08.104 extends beyond oral health, as complete tooth loss can lead to nutritional deficiencies and gastrointestinal complications due to inadequate food intake. Population health impacts include increased healthcare utilization for dental and gastrointestinal issues. Quality measures may focus on improving access to dental care and preventive services to reduce the incidence of tooth loss. Epidemiologically, the prevalence of complete tooth loss varies by age, socioeconomic status, and access to dental care, highlighting the need for targeted public health interventions.

Reimbursement & Billing Impact

reimbursement. Regular audits of documentation practices can help mitigate risks associated with billing for this code.

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 K08.104?

K08.104 encompasses complete loss of teeth without specifying the underlying cause, which may include trauma, systemic diseases, or neglect of oral hygiene. It is essential to evaluate the patient's history and clinical findings to determine the specific contributing factors.

When should K08.104 be used instead of related codes?

K08.104 should be used when the cause of tooth loss is not clearly defined or documented. If the tooth loss is due to a specific condition such as periodontal disease, then a more specific code like K08.101 should be selected.

What documentation supports K08.104?

Documentation should include a comprehensive dental examination, radiographic evidence, and a detailed medical history that outlines the patient's oral health status and any contributing factors to tooth loss.