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 CodesK01.0

K01.0

Billable

Embedded teeth

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

Code Description

ICD-10 K01.0 is a billable code used to indicate a diagnosis of embedded teeth.

Key Diagnostic Point:

Embedded teeth, also known as impacted teeth, refer to teeth that fail to erupt into the dental arch due to obstruction or lack of space. This condition is most commonly associated with third molars (wisdom teeth) but can occur with any tooth. Clinically, patients may present with localized pain, swelling, or infection in the surrounding gum tissue. In some cases, embedded teeth may be asymptomatic and discovered incidentally during radiographic examinations. The anatomy involved includes the dental arch, alveolar bone, and surrounding soft tissues. Disease progression can lead to complications such as pericoronitis, cyst formation, or damage to adjacent teeth. Diagnostic considerations include clinical examination, panoramic radiography, and sometimes cone-beam computed tomography (CBCT) to assess the position of the embedded tooth and the relationship to adjacent structures. Treatment typically involves surgical extraction, especially if the tooth is symptomatic or poses a risk for further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to confirm diagnosis.
  • Treatment complexity: Surgical intervention may be necessary, which involves pre-operative assessment and post-operative care.
  • Documentation requirements: Detailed documentation of symptoms, imaging results, and treatment plans is essential.
  • Coding specificity: Requires accurate coding to differentiate between types of impaction and associated conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of impacted teeth as other dental conditions.
  • Documentation gaps: Incomplete records regarding the clinical presentation and imaging findings.
  • Billing challenges: Potential denials if surgical procedures are not adequately justified.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K01.0 lies in its potential to cause pain, infection, and other complications if left untreated. Population health impact includes the prevalence of impacted teeth, particularly among young adults, which can lead to increased healthcare utilization for dental procedures. Quality measures may focus on timely intervention and management of impacted teeth to prevent complications, thereby improving overall oral health outcomes.

ICD-9 vs ICD-10

The clinical significance of K01.0 lies in its potential to cause pain, infection, and other complications if left untreated. Population health impact includes the prevalence of impacted teeth, particularly among young adults, which can lead to increased healthcare utilization for dental procedures. Quality measures may focus on timely intervention and management of impacted teeth to prevent complications, thereby improving overall oral health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of the procedure and whether it is deemed medically necessary. Common denials may arise if the documentation does not clearly support the need for extraction or if the procedure is not coded accurately. Best practices include ensuring that all relevant clinical information is included in the patient's record and that coding aligns with the services provided.

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 K01.0?

K01.0 specifically covers embedded teeth, primarily focusing on teeth that are unable to erupt due to obstruction or lack of space. This includes impacted wisdom teeth and can also encompass other teeth that are similarly affected.

When should K01.0 be used instead of related codes?

K01.0 should be used when there is clear evidence of a tooth that is embedded and not erupting, particularly when it is causing symptoms or complications. Related codes may be used when the condition is less specific or when other dental issues are present.

What documentation supports K01.0?

Documentation should include clinical notes detailing the patient's symptoms, imaging results showing the position of the embedded tooth, and any treatment plans or surgical notes if extraction is performed.