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 CodesK08.494

K08.494

Billable

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

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

Code Description

ICD-10 K08.494 is a billable code used to indicate a diagnosis of partial loss of teeth due to other specified cause, class iv.

Key Diagnostic Point:

K08.494 refers to partial loss of teeth due to other specified causes, classified as class IV. This condition can arise from various factors, including trauma, periodontal disease, or systemic diseases that affect oral health. Clinically, patients may present with missing teeth, altered occlusion, and difficulties in mastication, which can lead to nutritional deficiencies and gastrointestinal issues. The anatomy involved primarily includes the dental structures such as enamel, dentin, and periodontal ligaments. 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. Understanding the etiology is crucial for appropriate management and prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of various causes of tooth loss and their implications.
  • Treatment complexity: Management may involve dental interventions, nutritional counseling, and addressing underlying health issues.
  • Documentation requirements: Detailed documentation of the cause, treatment plan, and patient history is essential.
  • Coding specificity: Requires precise coding to differentiate from other types of tooth loss.

Audit Risk Factors

  • Common coding errors: Misclassification of the cause of tooth loss.
  • Documentation gaps: Incomplete patient history or lack of supporting evidence for the specified cause.
  • Billing challenges: Potential denials if documentation does not clearly 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 K08.494 lies in its association with broader health issues, as partial tooth loss can lead to malnutrition and gastrointestinal complications due to impaired chewing. This condition affects a significant portion of the population, particularly the elderly and those with chronic diseases. Understanding the epidemiology of tooth loss can inform public health initiatives aimed at improving oral health and reducing the incidence of related gastrointestinal disorders. Quality measures may include tracking the prevalence of tooth loss and the effectiveness of interventions aimed at preserving dental health.

ICD-9 vs ICD-10

The clinical significance of K08.494 lies in its association with broader health issues, as partial tooth loss can lead to malnutrition and gastrointestinal complications due to impaired chewing. This condition affects a significant portion of the population, particularly the elderly and those with chronic diseases. Understanding the epidemiology of tooth loss can inform public health initiatives aimed at improving oral health and reducing the incidence of related gastrointestinal disorders. Quality measures may include tracking the prevalence of tooth loss and the effectiveness of interventions aimed at preserving dental health.

Reimbursement & Billing Impact

reimbursement considerations include verifying patient eligibility and ensuring that the services rendered are medically necessary. Documentation must clearly outline the cause of tooth loss and any associated treatments. Familiarity with payer-specific guidelines can help mitigate billing challenges and improve claim acceptance 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 K08.494?

K08.494 encompasses partial loss of teeth due to specified causes such as trauma, systemic diseases (e.g., diabetes), and periodontal disease. It is essential to document the specific cause to justify the use of this code.

When should K08.494 be used instead of related codes?

K08.494 should be used when there is a clear, documented cause for the partial loss of teeth that is not covered by more general codes. It is crucial to differentiate it from codes that describe complete loss or unspecified causes.

What documentation supports K08.494?

Documentation should include a detailed patient history, clinical findings, diagnostic imaging results, and treatment plans that clearly outline the cause of tooth loss. This may also include notes on systemic conditions affecting oral health.