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ICD-10 Guide
ICD-10 CodesK08.123

K08.123

Billable

Complete loss of teeth due to periodontal diseases, class III

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

Code Description

ICD-10 K08.123 is a billable code used to indicate a diagnosis of complete loss of teeth due to periodontal diseases, class iii.

Key Diagnostic Point:

K08.123 refers to complete loss of teeth due to periodontal diseases, class III, which is characterized by severe periodontal disease leading to the loss of all teeth. Periodontal diseases are infections of the structures around the teeth, including the gums, periodontal ligament, and alveolar bone. The disease progresses through stages, starting with gingivitis and potentially advancing to periodontitis, where inflammation and infection can cause significant tissue destruction. The anatomy involved includes the gums, supporting bone, and the teeth themselves. Clinically, patients may present with symptoms such as gum bleeding, bad breath, and tooth mobility. Diagnostic considerations include clinical examination, radiographic evaluation, and periodontal probing to assess the depth of periodontal pockets. The progression of the disease can lead to systemic implications, as periodontal disease has been linked to various systemic conditions, including cardiovascular disease and diabetes. Early diagnosis and intervention are crucial to prevent complete tooth loss and manage overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough periodontal assessment and possibly imaging.
  • Treatment complexity: Involves multidisciplinary approaches including dental, surgical, and possibly medical management.
  • Documentation requirements: Detailed records of periodontal assessments and treatment plans are necessary.
  • Coding specificity: Requires precise coding to differentiate from other dental conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity of periodontal disease.
  • Documentation gaps: Incomplete records of periodontal assessments or treatment plans.
  • Billing challenges: Potential denials due to lack of supporting documentation for the severity of the condition.

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

Periodontology

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 K08.123 is profound, as complete tooth loss can severely impact a patient's quality of life, affecting nutrition, speech, and self-esteem. Population health impact includes increased healthcare utilization due to complications associated with periodontal disease, such as cardiovascular issues. Quality measures may focus on the prevention and management of periodontal disease to reduce tooth loss, while epidemiological considerations highlight the prevalence of periodontal disease in various populations, emphasizing the need for preventive care and education.

ICD-9 vs ICD-10

The clinical significance of K08.123 is profound, as complete tooth loss can severely impact a patient's quality of life, affecting nutrition, speech, and self-esteem. Population health impact includes increased healthcare utilization due to complications associated with periodontal disease, such as cardiovascular issues. Quality measures may focus on the prevention and management of periodontal disease to reduce tooth loss, while epidemiological considerations highlight the prevalence of periodontal disease in various populations, emphasizing the need for preventive care and education.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the treatment aligns with the diagnosis and that all necessary documentation is submitted to support the claim. Common denials may arise from insufficient documentation or misclassification of the periodontal disease stage. Best practices include maintaining detailed records of patient assessments, treatment plans, and follow-up care to substantiate the coding and billing process.

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 K08.123?

K08.123 covers complete loss of teeth specifically due to class III periodontal diseases, which is characterized by severe tissue destruction and tooth mobility. It does not cover tooth loss due to other causes such as trauma or caries.

When should K08.123 be used instead of related codes?

K08.123 should be used when there is a complete loss of teeth specifically attributed to class III periodontal disease. If there is partial loss or loss due to other etiologies, different codes should be selected.

What documentation supports K08.123?

Documentation should include comprehensive periodontal evaluations, clinical findings, treatment plans, and any imaging studies that support the diagnosis of complete tooth loss due to periodontal disease.