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ICD-10 Guide
ICD-10 CodesK08.132

K08.132

Billable

Complete loss of teeth due to caries, class II

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

Code Description

ICD-10 K08.132 is a billable code used to indicate a diagnosis of complete loss of teeth due to caries, class ii.

Key Diagnostic Point:

K08.132 refers to the complete loss of teeth due to caries, specifically classified as class II. This condition is characterized by the extensive decay of dental structures leading to the total loss of teeth, which can significantly impact a patient's ability to chew and digest food properly. The anatomy involved includes the teeth, gums, and surrounding oral structures, all of which play a crucial role in the digestive process. Disease progression typically begins with the formation of dental caries, which, if left untreated, can lead to pulpitis and subsequent tooth loss. Diagnostic considerations include clinical examinations, radiographic assessments, and patient history to ascertain the extent of decay and loss. Patients may present with symptoms such as pain, difficulty in chewing, and changes in dietary habits due to the loss of teeth. The management of this condition often involves restorative dental procedures or prosthetic replacements, emphasizing the importance of early intervention and preventive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of the extent of tooth loss.
  • Documentation gaps may arise if the clinical rationale for tooth loss is not clearly articulated.
  • Billing challenges can occur if the treatment plan is not adequately supported by documentation.

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

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.132 lies in its impact on a patient's nutritional intake and overall health, as the loss of teeth can lead to difficulties in chewing and digesting food. This condition can affect population health by increasing the risk of malnutrition and other gastrointestinal issues. Quality measures may include monitoring the prevalence of tooth loss due to caries and the effectiveness of preventive dental care initiatives. Understanding healthcare utilization patterns related to dental care can help in addressing this public health concern.

ICD-9 vs ICD-10

The clinical significance of K08.132 lies in its impact on a patient's nutritional intake and overall health, as the loss of teeth can lead to difficulties in chewing and digesting food. This condition can affect population health by increasing the risk of malnutrition and other gastrointestinal issues. Quality measures may include monitoring the prevalence of tooth loss due to caries and the effectiveness of preventive dental care initiatives. Understanding healthcare utilization patterns related to dental care can help in addressing this public health concern.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of restorative or prosthetic procedures following tooth loss. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the procedures performed. Best practices include ensuring that all clinical notes are thorough and that treatment plans are clearly outlined to support 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 K08.132?

K08.132 specifically covers complete loss of teeth due to caries classified as class II, which indicates severe decay leading to tooth loss. It does not cover loss due to trauma or periodontal disease.

When should K08.132 be used instead of related codes?

K08.132 should be used when there is a complete loss of teeth specifically due to caries, as opposed to partial loss or loss due to other etiologies. Accurate documentation of the cause of tooth loss is essential for appropriate code selection.

What documentation supports K08.132?

Documentation should include clinical notes detailing the extent of caries, radiographic evidence of tooth loss, and any treatment plans proposed or completed. A thorough patient history and examination findings are also critical.