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ICD-10 Guide
ICD-10 CodesK08.129

K08.129

Billable

Complete loss of teeth due to periodontal diseases, unspecified class

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

Code Description

ICD-10 K08.129 is a billable code used to indicate a diagnosis of complete loss of teeth due to periodontal diseases, unspecified class.

Key Diagnostic Point:

K08.129 refers to complete loss of teeth due to periodontal diseases, unspecified class. Periodontal disease encompasses a range of inflammatory conditions affecting the supporting structures of the teeth, including the gums, periodontal ligaments, and alveolar bone. The clinical presentation often begins with gingivitis, characterized by redness, swelling, and bleeding of the gums. If untreated, this can progress to periodontitis, leading to the destruction of the supporting bone and eventual tooth loss. The anatomy involved primarily includes the gums (gingiva), periodontal ligaments, and the alveolar bone that houses the teeth. Disease progression can vary significantly among individuals, influenced by factors such as oral hygiene, genetic predisposition, and systemic health conditions. Diagnostic considerations include clinical examination, radiographic assessment, and periodontal probing to evaluate the extent of attachment loss and pocket depth. Early diagnosis and intervention are crucial to prevent further tooth loss and associated complications, such as nutritional deficiencies and impacts on overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and understanding of periodontal disease stages.
  • Treatment complexity: Involves multidisciplinary approaches including dental hygiene, surgical interventions, and possibly systemic treatments.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and patient compliance are necessary.
  • Coding specificity: Requires accurate coding to differentiate between types of periodontal disease and tooth loss.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes or failure to document the underlying periodontal disease.
  • Documentation gaps: Incomplete records regarding the extent of periodontal disease and treatment history.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis and treatment provided.

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: Periodontics

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 K08.129 lies in its association with systemic health issues, as periodontal disease has been linked to conditions such as diabetes and cardiovascular disease. The population health impact is notable, as tooth loss can affect nutrition and quality of life, particularly in older adults. Quality measures may include tracking the prevalence of periodontal disease and tooth loss in populations, influencing healthcare utilization patterns and preventive care strategies.

ICD-9 vs ICD-10

The clinical significance of K08.129 lies in its association with systemic health issues, as periodontal disease has been linked to conditions such as diabetes and cardiovascular disease. The population health impact is notable, as tooth loss can affect nutrition and quality of life, particularly in older adults. Quality measures may include tracking the prevalence of periodontal disease and tooth loss in populations, influencing healthcare utilization patterns and preventive care strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of demonstrating the medical necessity of procedures performed to address the periodontal disease. Common denials may arise from insufficient documentation or failure to provide evidence of the disease's impact on the patient's oral health. Best practices include maintaining thorough records of patient assessments, treatment plans, and follow-up care to support claims.

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 K08.129?

K08.129 covers complete loss of teeth specifically due to periodontal diseases that are not further specified. This includes cases where the loss is attributed to chronic periodontitis, aggressive periodontitis, or other forms of periodontal disease that lead to tooth mobility and loss.

When should K08.129 be used instead of related codes?

K08.129 should be used when there is complete loss of teeth due to periodontal disease without further specification. If the cause of tooth loss is due to other diseases or conditions, other codes such as K08.121 should be considered.

What documentation supports K08.129?

Documentation should include a comprehensive periodontal examination, radiographic evidence of bone loss, treatment history, and any relevant medical history that may contribute to periodontal disease. Detailed notes on the patient's oral hygiene practices and compliance with treatment plans are also essential.