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ICD-10 Guide
ICD-10 CodesK08.112

K08.112

Billable

Complete loss of teeth due to trauma, class II

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

Code Description

ICD-10 K08.112 is a billable code used to indicate a diagnosis of complete loss of teeth due to trauma, class ii.

Key Diagnostic Point:

K08.112 refers to complete loss of teeth due to trauma, class II, which typically involves the loss of all teeth in one or both dental arches as a result of significant physical injury. This condition can affect the oral cavity's anatomy, particularly the maxilla and mandible, leading to functional impairments in mastication and speech. The progression of this condition may vary based on the severity of the trauma and the patient's overall health. Diagnostic considerations include a thorough clinical examination, imaging studies such as X-rays, and possibly CT scans to assess the extent of bone loss and any associated injuries to the surrounding soft tissues. Patients may present with pain, swelling, and difficulty in eating or speaking, necessitating a multidisciplinary approach for management, including dental restoration and rehabilitation. Proper diagnosis and coding are crucial for treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and imaging.
  • Treatment complexity: Involves potential surgical interventions and prosthetic rehabilitation.
  • Documentation requirements: Detailed records of trauma, treatment plans, and follow-up care are essential.
  • Coding specificity: Accurate coding requires understanding of the classification of tooth loss and associated conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the extent of tooth loss.
  • Documentation gaps: Incomplete records of trauma history and treatment plans.
  • Billing challenges: Issues with reimbursement for comprehensive dental restoration 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.112 lies in its impact on the patient's quality of life, including difficulties in eating, speaking, and social interactions. The loss of teeth can lead to nutritional deficiencies and psychological effects due to altered appearance. Understanding the epidemiology of dental trauma can inform public health initiatives aimed at prevention. Additionally, tracking the incidence of such cases can help healthcare providers develop better treatment protocols and improve patient outcomes.

ICD-9 vs ICD-10

The clinical significance of K08.112 lies in its impact on the patient's quality of life, including difficulties in eating, speaking, and social interactions. The loss of teeth can lead to nutritional deficiencies and psychological effects due to altered appearance. Understanding the epidemiology of dental trauma can inform public health initiatives aimed at prevention. Additionally, tracking the incidence of such cases can help healthcare providers develop better treatment protocols and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of documentation, especially for surgical and restorative procedures. Common denials may arise from insufficient evidence of the trauma's impact on dental health. Adhering to coding best practices, including using modifiers when necessary, can help mitigate 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 K08.112?

K08.112 specifically covers complete loss of teeth due to trauma classified as class II, which indicates a significant injury leading to the loss of all teeth in one or both dental arches. This may include cases resulting from accidents, falls, or other traumatic events.

When should K08.112 be used instead of related codes?

K08.112 should be used when there is a complete loss of teeth due to trauma, as opposed to partial loss (K08.111). It is essential to differentiate based on the extent of tooth loss and the underlying cause to ensure accurate coding and appropriate treatment planning.

What documentation supports K08.112?

Documentation for K08.112 should include a detailed account of the trauma event, clinical findings, imaging results, treatment plans, and any follow-up care. This information is crucial for substantiating the diagnosis and ensuring proper reimbursement.