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ICD-10 Guide
ICD-10 CodesK08.0

K08.0

Billable

Exfoliation of teeth due to systemic causes

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

Code Description

ICD-10 K08.0 is a billable code used to indicate a diagnosis of exfoliation of teeth due to systemic causes.

Key Diagnostic Point:

Exfoliation of teeth due to systemic causes, classified under K08.0, refers to the loss of teeth that occurs as a result of systemic diseases rather than local dental issues. This condition can arise from various gastrointestinal disorders, such as malabsorption syndromes, which may lead to nutritional deficiencies impacting dental health. The anatomy involved includes the teeth, gums, and supporting structures, which may be compromised due to systemic conditions like diabetes mellitus or autoimmune diseases. Disease progression typically involves gradual tooth mobility followed by exfoliation, often accompanied by periodontal disease. Diagnostic considerations include a thorough medical history, physical examination, and possibly imaging studies to assess the extent of dental and periodontal involvement. Laboratory tests may also be necessary to identify underlying systemic conditions contributing to the dental issues. Understanding the systemic link is crucial for effective management and prevention of further dental complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of systemic diseases and their impact on dental health.
  • Treatment complexity: Management may involve interdisciplinary approaches including dental and medical care.
  • Documentation requirements: Detailed documentation of systemic conditions and their relation to dental health is essential.
  • Coding specificity: Accurate coding requires knowledge of both dental and systemic disease classifications.

Audit Risk Factors

  • Common coding errors: Misclassification of the cause of tooth loss.
  • Documentation gaps: Incomplete records of systemic conditions.
  • Billing challenges: Difficulty in justifying claims without thorough documentation.

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: Internal Medicine

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 K08.0 lies in its association with systemic health, highlighting the importance of interdisciplinary care. Population health impact includes the need for increased awareness of how systemic diseases can affect dental outcomes, potentially leading to higher healthcare utilization. Quality measures may focus on the integration of dental and medical care, improving overall patient health. Epidemiologically, understanding the prevalence of systemic conditions contributing to dental issues can inform public health strategies aimed at prevention and education.

ICD-9 vs ICD-10

The clinical significance of K08.0 lies in its association with systemic health, highlighting the importance of interdisciplinary care. Population health impact includes the need for increased awareness of how systemic diseases can affect dental outcomes, potentially leading to higher healthcare utilization. Quality measures may focus on the integration of dental and medical care, improving overall patient health. Epidemiologically, understanding the prevalence of systemic conditions contributing to dental issues can inform public health strategies aimed at prevention and education.

Reimbursement & Billing Impact

Reimbursement may be affected by the clarity of the documentation linking systemic issues to dental health. Common denials may arise from insufficient evidence of the systemic cause, so thorough clinical notes and test results are critical. Best practices include maintaining clear communication between dental and medical providers to ensure comprehensive care and accurate billing.

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 K08.0?

K08.0 encompasses conditions where systemic diseases, such as diabetes, autoimmune disorders, or gastrointestinal malabsorption syndromes, lead to the exfoliation of teeth. It is essential to document the specific systemic condition that contributes to the dental issue.

When should K08.0 be used instead of related codes?

K08.0 should be used when tooth loss is directly attributable to systemic causes rather than local factors such as trauma or periodontal disease. Accurate differentiation is critical for appropriate coding and treatment planning.

What documentation supports K08.0?

Documentation should include a comprehensive medical history detailing the systemic condition, clinical findings related to dental health, and any diagnostic tests performed to establish the link between the systemic disease and tooth exfoliation.