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ICD-10 Guide
ICD-10 CodesK08.493

K08.493

Billable

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

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

Code Description

ICD-10 K08.493 is a billable code used to indicate a diagnosis of partial loss of teeth due to other specified cause, class iii.

Key Diagnostic Point:

K08.493 refers to partial loss of teeth due to other specified causes, classified under class III. This condition can arise from various factors, including trauma, periodontal disease, or systemic conditions affecting oral health. The anatomy involved primarily includes the teeth, gums, and supporting structures of the jaw. Clinically, patients may present with mobility of teeth, pain, or aesthetic concerns due to the loss of dental integrity. Disease progression can vary; for instance, periodontal disease may lead to gradual tooth loss, while trauma can result in sudden loss. Diagnostic considerations include thorough dental examinations, radiographic imaging, and assessments of underlying health conditions that may contribute to tooth loss. It is essential to differentiate this code from other dental codes that may specify loss due to caries or congenital conditions, ensuring accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of various etiologies for tooth loss.
  • Treatment complexity: May involve multidisciplinary approaches including dentistry and possibly other specialties.
  • Documentation requirements: Detailed clinical notes and imaging results are necessary.
  • Coding specificity: Requires precise identification of the cause of tooth loss.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes.
  • Documentation gaps: Incomplete patient history or lack of imaging.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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 K08.493 lies in its association with broader health issues, such as periodontal disease and systemic conditions that may affect oral health. Addressing partial tooth loss can improve patient quality of life and reduce healthcare utilization related to dental complications. Epidemiologically, understanding the prevalence of tooth loss due to various causes can inform public health initiatives aimed at improving oral health outcomes and preventive care strategies.

ICD-9 vs ICD-10

The clinical significance of K08.493 lies in its association with broader health issues, such as periodontal disease and systemic conditions that may affect oral health. Addressing partial tooth loss can improve patient quality of life and reduce healthcare utilization related to dental complications. Epidemiologically, understanding the prevalence of tooth loss due to various causes can inform public health initiatives aimed at improving oral health outcomes and preventive care strategies.

Reimbursement & Billing Impact

reimbursement. Additionally, understanding payer-specific requirements can help mitigate billing challenges.

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 K08.493?

K08.493 covers partial loss of teeth due to various specified causes, including trauma, systemic diseases, and periodontal conditions that do not fall under more specific codes. It is important to document the underlying cause accurately.

When should K08.493 be used instead of related codes?

K08.493 should be used when the cause of tooth loss is not due to caries or congenital issues but rather other specified causes. It is crucial to differentiate based on the clinical findings and documentation.

What documentation supports K08.493?

Documentation should include a detailed clinical examination, radiographic evidence, and notes on the patient's medical history that may contribute to the tooth loss, ensuring all relevant factors are captured.