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ICD-10 Guide
ICD-10 CodesK08.199

K08.199

Billable

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

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

Code Description

ICD-10 K08.199 is a billable code used to indicate a diagnosis of complete loss of teeth due to other specified cause, unspecified class.

Key Diagnostic Point:

K08.199 refers to the complete loss of teeth due to other specified causes, unspecified class. This condition can arise from various factors, including trauma, systemic diseases, or environmental influences. Clinically, patients may present with significant oral health issues, including difficulty in chewing, speech impediments, and aesthetic concerns. The anatomy involved primarily includes the maxilla and mandible, as well as the periodontal structures that support the teeth. Disease progression can vary; for instance, if the loss is due to periodontal disease, it may be gradual, while trauma may result in sudden loss. Diagnostic considerations include a thorough dental examination, radiographic imaging to assess bone loss, and a review of the patient's medical history to identify underlying causes such as diabetes or osteoporosis. Understanding the etiology is crucial for effective management and prevention of further tooth loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of dental and medical history.
  • Treatment complexity: May involve multidisciplinary approaches including dental prosthetics and management of underlying conditions.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and patient history are essential.
  • Coding specificity: Requires accurate identification of the cause of tooth loss to ensure appropriate coding.

Audit Risk Factors

  • Common coding errors: Misclassification of the cause of tooth loss.
  • Documentation gaps: Incomplete patient history or lack of supporting clinical evidence.
  • Billing challenges: Potential denials due to insufficient documentation or unclear coding.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.199 lies in its implications for oral health and overall well-being. Complete tooth loss can lead to nutritional deficiencies, impacting population health. It may also increase healthcare utilization due to complications arising from poor oral health, such as infections or systemic diseases. Quality measures related to oral health can be affected, highlighting the importance of preventive care and early intervention in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of K08.199 lies in its implications for oral health and overall well-being. Complete tooth loss can lead to nutritional deficiencies, impacting population health. It may also increase healthcare utilization due to complications arising from poor oral health, such as infections or systemic diseases. Quality measures related to oral health can be affected, highlighting the importance of preventive care and early intervention in at-risk populations.

Reimbursement & Billing Impact

The clinical significance of K08.199 lies in its implications for oral health and overall well-being. Complete tooth loss can lead to nutritional deficiencies, impacting population health. It may also increase healthcare utilization due to complications arising from poor oral health, such as infections or systemic diseases. Quality measures related to oral health can be affected, highlighting the importance of preventive care and early intervention in at-risk populations.

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 K08.199?

K08.199 encompasses complete tooth loss due to various specified causes such as trauma, systemic diseases (e.g., diabetes, cancer), or environmental factors (e.g., poor oral hygiene, nutritional deficiencies). It is important to document the underlying cause to support the diagnosis.

When should K08.199 be used instead of related codes?

K08.199 should be used when the cause of tooth loss is not clearly defined or falls outside the scope of other specific codes. It is essential to differentiate it from codes that specify loss due to periodontal disease or other identifiable conditions.

What documentation supports K08.199?

Documentation should include a comprehensive dental examination, radiographic evidence of tooth loss, and a detailed medical history that outlines any systemic conditions or trauma that may have contributed to the tooth loss.