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ICD-10 Guide
ICD-10 CodesK08.119

K08.119

Billable

Complete loss of teeth due to trauma, unspecified class

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

Code Description

ICD-10 K08.119 is a billable code used to indicate a diagnosis of complete loss of teeth due to trauma, unspecified class.

Key Diagnostic Point:

K08.119 refers to the complete loss of teeth due to trauma, unspecified class. This condition typically arises from significant external forces impacting the oral cavity, leading to the avulsion or fracture of teeth. The anatomy involved includes the dental structures such as enamel, dentin, pulp, and supporting periodontal tissues. The clinical presentation may include immediate pain, swelling, and bleeding in the affected area, along with functional impairments in chewing and speaking. Disease progression can vary; if not addressed, it may lead to complications such as infections, bone loss, and misalignment of remaining teeth. Diagnostic considerations include a thorough clinical examination, radiographic imaging to assess the extent of trauma, and evaluation of the patient's dental history. Treatment often involves dental restoration, prosthetics, or surgical interventions depending on the severity of the loss and the patient's overall health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough assessment of trauma and its effects on dental structures.
  • Treatment complexity: May involve multiple specialties including dentistry and oral surgery.
  • Documentation requirements: Detailed records of trauma, treatment plans, and follow-up care are necessary.
  • Coding specificity: Requires accurate coding to differentiate from other dental loss codes.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of tooth loss.
  • Documentation gaps: Incomplete records of trauma history or treatment plans.
  • Billing challenges: Potential denials if documentation does not support the severity of the condition.

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 K08.119 lies in its implications for oral health and overall quality of life. Complete tooth loss can lead to difficulties in nutrition, speech, and self-esteem, impacting population health. The condition may also increase healthcare utilization due to the need for restorative procedures and management of complications. Understanding the epidemiology of dental trauma can help in developing preventive strategies and improving patient outcomes.

ICD-9 vs ICD-10

The clinical significance of K08.119 lies in its implications for oral health and overall quality of life. Complete tooth loss can lead to difficulties in nutrition, speech, and self-esteem, impacting population health. The condition may also increase healthcare utilization due to the need for restorative procedures and management of complications. Understanding the epidemiology of dental trauma can help in developing preventive strategies and improving patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed notes that justify the necessity of procedures performed. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant information is included in the claim to avoid delays in payment. Best practices include using precise coding and maintaining thorough records of patient interactions and treatment outcomes.

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 K08.119?

K08.119 covers complete loss of teeth due to trauma, including cases where teeth are completely avulsed or fractured beyond repair. It does not include loss due to periodontal disease or other non-traumatic causes.

When should K08.119 be used instead of related codes?

K08.119 should be used when there is a complete loss of teeth specifically due to trauma. If the loss is partial or due to other causes, different codes such as K08.120 or K08.121 should be considered.

What documentation supports K08.119?

Documentation should include a detailed account of the trauma event, clinical findings, radiographic evidence, treatment plans, and follow-up assessments to support the diagnosis of complete tooth loss due to trauma.