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ICD-10 Guide
ICD-10 CodesK08.411

K08.411

Billable

Partial loss of teeth due to trauma, class I

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

Code Description

ICD-10 K08.411 is a billable code used to indicate a diagnosis of partial loss of teeth due to trauma, class i.

Key Diagnostic Point:

K08.411 refers to partial loss of teeth due to trauma, classified as Class I. This condition typically arises from physical injuries to the oral cavity, which may result from accidents, falls, or sports-related incidents. Clinically, patients may present with one or more missing teeth, which can affect their ability to chew and speak properly, leading to potential nutritional deficiencies and psychosocial impacts. The anatomy involved primarily includes the dental structures, such as the enamel, dentin, and periodontal tissues. Disease progression can vary; if not addressed, it may lead to further complications, including misalignment of remaining teeth, increased wear on adjacent teeth, and potential jaw issues. Diagnostic considerations include a thorough clinical examination, radiographic imaging to assess the extent of damage, and evaluation of the patient's dental history. Treatment options may involve restorative procedures, such as dental implants or bridges, to restore function and aesthetics.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough assessment of trauma and dental health.
  • Treatment complexity: Involves potential surgical and restorative interventions.
  • Documentation requirements: Detailed records of trauma, treatment plans, and follow-up care are essential.
  • Coding specificity: Requires precise coding to differentiate from other dental conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the extent of tooth loss.
  • Documentation gaps: Incomplete records of trauma history or treatment plans.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.411 lies in its potential effects on a patient's oral health and overall well-being. Partial loss of teeth can lead to difficulties in eating and speaking, which may affect nutritional intake and quality of life. From a population health perspective, dental trauma is a common issue, particularly among children and adolescents, highlighting the need for preventive measures in sports and other activities. Understanding the epidemiology of dental trauma can help healthcare providers implement better safety protocols and educational programs to reduce incidence rates.

ICD-9 vs ICD-10

The clinical significance of K08.411 lies in its potential effects on a patient's oral health and overall well-being. Partial loss of teeth can lead to difficulties in eating and speaking, which may affect nutritional intake and quality of life. From a population health perspective, dental trauma is a common issue, particularly among children and adolescents, highlighting the need for preventive measures in sports and other activities. Understanding the epidemiology of dental trauma can help healthcare providers implement better safety protocols and educational programs to reduce incidence rates.

Reimbursement & Billing Impact

Reimbursement considerations should also account for the complexity of the case, as more extensive restorative work may warrant higher reimbursement rates.

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 K08.411?

K08.411 covers partial loss of teeth specifically due to trauma, including cases where one or more teeth are lost or severely damaged as a result of an external force. It does not include tooth loss due to decay or other non-traumatic causes.

When should K08.411 be used instead of related codes?

K08.411 should be used when documenting partial tooth loss resulting from trauma. It is important to differentiate from codes related to complete tooth loss (K08.410) or other dental conditions that do not involve trauma.

What documentation supports K08.411?

Documentation for K08.411 should include a detailed account of the trauma incident, clinical findings, radiographic evidence of tooth loss, treatment plans, and any follow-up care provided to the patient.