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 CodesK08.4

K08.4

Non-billable

Partial loss of teeth

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

Code Description

ICD-10 K08.4 is a used to indicate a diagnosis of partial loss of teeth.

Key Diagnostic Point:

Partial loss of teeth, classified under ICD-10 code K08.4, refers to the condition where one or more teeth are missing due to various reasons such as trauma, periodontal disease, or dental caries. Clinically, this condition can lead to significant functional impairment, affecting the ability to chew and speak properly. The anatomy involved primarily includes the dental structures, including the alveolar bone, gums, and surrounding soft tissues. Disease progression may vary; for instance, periodontal disease can lead to tooth loss over time if untreated, while trauma may result in sudden loss. Diagnostic considerations include a thorough dental examination, radiographic imaging to assess bone loss, and evaluation of the patient's dental history. It is essential to differentiate partial loss from complete loss of teeth (K08.1) and to assess the underlying causes to guide appropriate treatment plans.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 K08.4 lies in its potential to affect a patient's quality of life, impacting nutrition, speech, and self-esteem. Population health impact includes the prevalence of dental diseases leading to tooth loss, which can vary by demographic factors. Quality measures may focus on preventive care and early intervention to reduce the incidence of tooth loss. Healthcare utilization patterns may reflect increased visits to dental professionals for restorative procedures, highlighting the need for effective management of oral health.

ICD-9 vs ICD-10

The clinical significance of K08.4 lies in its potential to affect a patient's quality of life, impacting nutrition, speech, and self-esteem. Population health impact includes the prevalence of dental diseases leading to tooth loss, which can vary by demographic factors. Quality measures may focus on preventive care and early intervention to reduce the incidence of tooth loss. Healthcare utilization patterns may reflect increased visits to dental professionals for restorative procedures, highlighting the need for effective management of oral health.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the patient's insurance coverage for dental procedures, as some plans may have specific exclusions. Common denials may arise from insufficient documentation or coding errors, so it is critical to provide comprehensive clinical notes and radiographic evidence. Best practices include using precise coding and ensuring that all relevant procedures are documented to support the claim.

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 K08.4?

K08.4 encompasses conditions resulting in partial loss of teeth, including but not limited to tooth extraction due to decay, trauma, or periodontal disease. It is important to document the specific reasons for tooth loss to ensure accurate coding.

When should K08.4 be used instead of related codes?

K08.4 should be used when there is a partial loss of teeth, distinguishing it from K08.1, which is for complete loss. Accurate assessment of the number of teeth lost and the underlying cause is crucial for proper code selection.

What documentation supports K08.4?

Documentation should include clinical notes detailing the patient's dental history, examination findings, radiographic evidence of tooth loss, and any treatment plans. This information is vital for substantiating the diagnosis and ensuring appropriate reimbursement.