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ICD-10 Guide
ICD-10 CodesK08.114

K08.114

Billable

Complete loss of teeth due to trauma, class IV

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

Code Description

ICD-10 K08.114 is a billable code used to indicate a diagnosis of complete loss of teeth due to trauma, class iv.

Key Diagnostic Point:

K08.114 refers to complete loss of teeth due to trauma, classified as class IV. This condition typically arises from significant external forces, such as accidents or falls, leading to the complete avulsion of teeth. The anatomical structures involved include the teeth, alveolar bone, and surrounding soft tissues, which may also sustain injury. The clinical presentation often includes pain, swelling, and bleeding at the site of injury, along with functional impairments in chewing and speaking. Disease progression can vary; immediate intervention is crucial to manage pain and prevent infection. Over time, loss of teeth can lead to complications such as malocclusion, changes in facial aesthetics, and potential psychological impacts due to altered appearance. Diagnostic considerations involve a thorough clinical examination, imaging studies like X-rays to assess bone integrity, and possibly referral to dental specialists for comprehensive management. Accurate diagnosis is essential for appropriate treatment planning and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of trauma mechanisms and dental anatomy.
  • Treatment complexity: Involves multidisciplinary approaches including dental, surgical, and possibly psychological care.
  • Documentation requirements: Detailed records of trauma, treatment plans, and follow-up care are necessary.
  • Coding specificity: Requires precise coding to differentiate from other dental conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of the extent of tooth loss.
  • Documentation gaps: Incomplete records of trauma history and treatment.
  • Billing challenges: Potential for denials if documentation does not clearly support the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.114 extends beyond immediate dental concerns, affecting overall health and quality of life. The loss of teeth can lead to difficulties in nutrition, speech, and social interactions, impacting population health. Quality measures may include tracking the incidence of dental trauma and the effectiveness of interventions. Understanding healthcare utilization patterns related to dental trauma can inform preventive strategies and resource allocation, ultimately improving patient outcomes and reducing the burden on healthcare systems.

ICD-9 vs ICD-10

The clinical significance of K08.114 extends beyond immediate dental concerns, affecting overall health and quality of life. The loss of teeth can lead to difficulties in nutrition, speech, and social interactions, impacting population health. Quality measures may include tracking the incidence of dental trauma and the effectiveness of interventions. Understanding healthcare utilization patterns related to dental trauma can inform preventive strategies and resource allocation, ultimately improving patient outcomes and reducing the burden on healthcare systems.

Reimbursement & Billing Impact

reimbursement and to maintain clear records of the patient's trauma history, treatment plan, and follow-up care to facilitate claims processing.

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 K08.114?

K08.114 specifically covers complete loss of teeth due to trauma, including avulsions resulting from accidents, sports injuries, or falls. It does not cover loss due to periodontal disease or other non-traumatic causes.

When should K08.114 be used instead of related codes?

K08.114 should be used when there is a complete loss of teeth due to trauma. It is important to differentiate from related codes like K08.113, which pertains to partial loss of teeth, to ensure accurate representation of the patient's condition.

What documentation supports K08.114?

Documentation should include a detailed account of the trauma incident, clinical findings, treatment provided, and any follow-up care. Radiographic evidence may also be necessary to confirm the extent of tooth loss and assess bone integrity.