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ICD-10 Guide
ICD-10 CodesK08.193

K08.193

Billable

Complete loss of teeth due to other specified cause, class III

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

Code Description

ICD-10 K08.193 is a billable code used to indicate a diagnosis of complete loss of teeth due to other specified cause, class iii.

Key Diagnostic Point:

K08.193 refers to the complete loss of teeth due to other specified causes, classified as class III. This condition may arise from various factors, including systemic diseases, trauma, or environmental influences that lead to the deterioration of oral health. The anatomy involved primarily includes the maxilla and mandible, where the teeth are anchored. The progression of this condition can be gradual, often starting with periodontal disease, which may lead to tooth mobility and eventual loss. Diagnostic considerations include a thorough dental examination, radiographic imaging to assess bone loss, and evaluation of the patient's medical history to identify underlying causes such as diabetes, autoimmune disorders, or nutritional deficiencies. Clinicians must also consider the psychosocial impact of tooth loss on patients, as it can affect their quality of life, nutrition, and social interactions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive assessment of dental and systemic health.
  • Treatment complexity: May involve multidisciplinary approaches including dentistry, nutrition, and possibly surgery.
  • Documentation requirements: Detailed records of dental evaluations, medical history, and treatment plans are essential.
  • Coding specificity: Requires precise documentation to differentiate from other dental codes.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes or failure to document specific reasons.
  • Documentation gaps: Incomplete medical history or lack of supporting evidence for the diagnosis.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect code selection.

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: General medicine or endocrinology (if systemic causes are involved)

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 K08.193 extends beyond dental health, impacting overall population health as tooth loss can lead to malnutrition, social isolation, and decreased quality of life. Understanding the epidemiology of tooth loss due to systemic conditions can inform public health initiatives aimed at improving oral health and access to care. Quality measures may include tracking the prevalence of tooth loss in populations with specific systemic diseases, highlighting the need for integrated care approaches.

ICD-9 vs ICD-10

The clinical significance of K08.193 extends beyond dental health, impacting overall population health as tooth loss can lead to malnutrition, social isolation, and decreased quality of life. Understanding the epidemiology of tooth loss due to systemic conditions can inform public health initiatives aimed at improving oral health and access to care. Quality measures may include tracking the prevalence of tooth loss in populations with specific systemic diseases, highlighting the need for integrated care approaches.

Reimbursement & Billing Impact

Reimbursement considerations include verifying patient eligibility and ensuring that the diagnosis aligns with the services provided. 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 support the diagnosis and treatment provided.

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 K08.193?

K08.193 encompasses tooth loss due to various specified causes, including systemic diseases like diabetes, autoimmune disorders, trauma, and environmental factors such as poor oral hygiene or nutritional deficiencies.

When should K08.193 be used instead of related codes?

K08.193 should be used when there is a clear indication of tooth loss due to specified causes that are not classified under other codes. It is essential to document the specific cause to differentiate from other types of tooth loss.

What documentation supports K08.193?

Documentation for K08.193 should include a comprehensive dental examination report, radiographic evidence of tooth loss and bone health, and a detailed medical history that outlines any systemic conditions contributing to tooth loss.