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ICD-10 Guide
ICD-10 CodesK02.7

K02.7

Billable

Dental root caries

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

Code Description

ICD-10 K02.7 is a billable code used to indicate a diagnosis of dental root caries.

Key Diagnostic Point:

Dental root caries, classified under ICD-10 code K02.7, refers to the decay that occurs at the root surface of a tooth, typically due to the exposure of the root to the oral environment. This condition is often seen in individuals with periodontal disease, where the gums recede, exposing the root surfaces. Clinically, root caries may present as soft, discolored areas on the root of the tooth, which can progress to deeper layers if not treated. The anatomy involved includes the tooth root, which is covered by cementum, a mineralized tissue that can be affected by carious lesions. Disease progression can lead to pain, sensitivity, and ultimately tooth loss if the decay is extensive. Diagnostic considerations include visual examination, radiographic assessment, and patient history to identify risk factors such as poor oral hygiene, dry mouth, and dietary habits. Early detection and intervention are crucial in managing root caries effectively, often requiring restorative procedures to prevent further deterioration.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly imaging.
  • Treatment complexity: May involve restorative dentistry, which can vary in complexity.
  • Documentation requirements: Detailed documentation of clinical findings and treatment plans is necessary.
  • Coding specificity: Requires accurate coding to differentiate from other types of caries.

Audit Risk Factors

  • Common coding errors: Misclassification with other caries types.
  • Documentation gaps: Incomplete records of clinical findings.
  • Billing challenges: Issues with reimbursement for restorative procedures.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Root caries can significantly impact oral health, especially in older adults and individuals with periodontal disease. The prevalence of root caries is increasing, highlighting the need for preventive measures and effective management strategies. Addressing root caries not only improves individual patient outcomes but also reduces the overall burden on healthcare systems by minimizing the need for more extensive dental interventions. Understanding the epidemiology of root caries can inform public health initiatives aimed at improving oral health literacy and access to preventive care.

ICD-9 vs ICD-10

Root caries can significantly impact oral health, especially in older adults and individuals with periodontal disease. The prevalence of root caries is increasing, highlighting the need for preventive measures and effective management strategies. Addressing root caries not only improves individual patient outcomes but also reduces the overall burden on healthcare systems by minimizing the need for more extensive dental interventions. Understanding the epidemiology of root caries can inform public health initiatives aimed at improving oral health literacy and access to preventive care.

Reimbursement & Billing Impact

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 K02.7?

K02.7 specifically covers root caries, which is characterized by decay at the root surface of teeth. It is important to differentiate it from other types of caries, such as coronal caries, which occur on the crown of the tooth.

When should K02.7 be used instead of related codes?

K02.7 should be used when the decay is specifically located on the root surface of the tooth. If the decay is on the crown or involves other types of caries, other codes such as K02.1 or K02.9 should be considered.

What documentation supports K02.7?

Documentation should include clinical findings from examinations, radiographic evidence showing the extent of decay, and a treatment plan that outlines the restorative procedures to be performed.