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ICD-10 Guide
ICD-10 CodesK08.101

K08.101

Billable

Complete loss of teeth, unspecified cause, class I

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

Code Description

ICD-10 K08.101 is a billable code used to indicate a diagnosis of complete loss of teeth, unspecified cause, class i.

Key Diagnostic Point:

K08.101 refers to the complete loss of teeth due to unspecified causes, classified as class I. This condition can significantly impact the digestive system, as teeth play a crucial role in the mechanical breakdown of food, facilitating digestion. The loss of teeth can lead to difficulties in chewing, which may result in malnutrition or gastrointestinal disorders due to improper food intake. The anatomy involved primarily includes the dental structures, including the maxilla and mandible, as well as associated soft tissues. Disease progression may vary; some patients may experience gradual tooth loss due to periodontal disease, while others may lose teeth suddenly due to trauma or systemic conditions. Diagnostic considerations include a thorough dental examination, patient history, and possibly imaging studies to assess the extent of tooth loss and any underlying conditions contributing to this issue. It is essential for healthcare providers to recognize the implications of tooth loss on overall health, particularly in relation to gastrointestinal function and nutritional status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Gastroenterology

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

The clinical significance of K08.101 extends beyond dental health, as complete tooth loss can lead to nutritional deficiencies and gastrointestinal complications. Population health impact includes increased healthcare utilization for related conditions, such as malnutrition or digestive disorders. Quality measures may focus on the prevention of tooth loss and the management of oral health to improve overall health outcomes. Epidemiologically, tooth loss is prevalent in aging populations, highlighting the need for targeted interventions to address this issue.

ICD-9 vs ICD-10

The clinical significance of K08.101 extends beyond dental health, as complete tooth loss can lead to nutritional deficiencies and gastrointestinal complications. Population health impact includes increased healthcare utilization for related conditions, such as malnutrition or digestive disorders. Quality measures may focus on the prevention of tooth loss and the management of oral health to improve overall health outcomes. Epidemiologically, tooth loss is prevalent in aging populations, highlighting the need for targeted interventions to address this issue.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but generally, comprehensive documentation of the patient's dental history and any related gastrointestinal issues is necessary. Common denials may arise from insufficient documentation or failure to establish medical necessity. Best practices include maintaining clear and thorough clinical notes, ensuring that all relevant procedures are coded accurately, and verifying coverage policies with payers to avoid 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 K08.101?

K08.101 covers complete loss of teeth without specifying the underlying cause. This may include loss due to periodontal disease, systemic health issues, or trauma. It is essential to document the clinical context to support the diagnosis.

When should K08.101 be used instead of related codes?

K08.101 should be used when there is complete loss of teeth without a specified cause. If the loss is due to a specific condition, such as trauma or disease, the corresponding code should be selected instead.

What documentation supports K08.101?

Documentation should include a comprehensive dental examination, patient history detailing the onset and progression of tooth loss, and any relevant imaging studies. Clinical notes should clearly indicate the diagnosis and rationale for code selection.