ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesK08.20

K08.20

Billable

Unspecified atrophy of edentulous alveolar ridge

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

Code Description

ICD-10 K08.20 is a billable code used to indicate a diagnosis of unspecified atrophy of edentulous alveolar ridge.

Key Diagnostic Point:

K08.20 refers to unspecified atrophy of the edentulous alveolar ridge, a condition characterized by the gradual loss of bone and soft tissue in the jaw where teeth are absent. This atrophy can lead to significant changes in the oral cavity, affecting the shape and structure of the alveolar ridge, which is crucial for the support of dentures and other dental prosthetics. Clinically, patients may present with difficulties in chewing, speaking, and maintaining oral hygiene, as well as aesthetic concerns due to changes in facial contour. The anatomy involved primarily includes the maxilla and mandible, where the alveolar bone supports the teeth. Disease progression can vary, often exacerbated by factors such as age, duration of edentulism, and underlying systemic conditions. Diagnostic considerations include clinical examination, radiographic imaging, and assessment of the patient's dental history. Understanding the extent of atrophy is essential for planning appropriate interventions, such as bone grafting or the use of implants, to restore function and aesthetics.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires clinical evaluation and imaging.
  • Treatment complexity: Moderate, depending on the need for prosthetics or surgical intervention.
  • Documentation requirements: Requires detailed clinical notes and imaging reports.
  • Coding specificity: Moderate, as it is important to differentiate from other types of alveolar ridge atrophy.

Audit Risk Factors

  • Common coding errors: Misuse of related codes or failure to specify the type of atrophy.
  • Documentation gaps: Incomplete clinical notes or lack of imaging to support the diagnosis.
  • Billing challenges: Potential denials due to insufficient documentation or lack of specificity.

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: 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 K08.20 lies in its impact on oral health and quality of life for patients. Atrophy of the alveolar ridge can lead to difficulties in eating and speaking, affecting overall health and nutrition. Population health impact includes increased healthcare utilization for dental prosthetics and potential surgical interventions. Quality measures may focus on the timely identification and management of edentulous patients to prevent further complications, highlighting the importance of preventive dental care and patient education.

ICD-9 vs ICD-10

The clinical significance of K08.20 lies in its impact on oral health and quality of life for patients. Atrophy of the alveolar ridge can lead to difficulties in eating and speaking, affecting overall health and nutrition. Population health impact includes increased healthcare utilization for dental prosthetics and potential surgical interventions. Quality measures may focus on the timely identification and management of edentulous patients to prevent further complications, highlighting the importance of preventive dental care and patient education.

Reimbursement & Billing Impact

Reimbursement may be affected by the specificity of the diagnosis, so it is crucial to provide detailed clinical notes and imaging studies. Common denials may arise from vague documentation or failure to demonstrate medical necessity for procedures related to the atrophy. Best practices include ensuring that all documentation aligns with the coding used and that any treatment plans are clearly justified in the patient's records.

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 K08.20?

K08.20 covers unspecified atrophy of the edentulous alveolar ridge, which may occur due to prolonged tooth loss, systemic diseases, or inadequate dental care. It does not specify the location or severity of the atrophy, allowing for a broad application in clinical settings.

When should K08.20 be used instead of related codes?

K08.20 should be used when the atrophy of the alveolar ridge is not specified as maxillary or mandibular, or when the clinical documentation does not provide enough detail to select a more specific code.

What documentation supports K08.20?

Documentation should include a comprehensive dental examination, radiographic evidence of alveolar ridge atrophy, and a detailed patient history indicating the duration of edentulism and any related systemic conditions.