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ICD-10 Guide
ICD-10 CodesK08.12

K08.12

Non-billable

Complete loss of teeth due to periodontal diseases

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

Code Description

ICD-10 K08.12 is a used to indicate a diagnosis of complete loss of teeth due to periodontal diseases.

Key Diagnostic Point:

K08.12 refers to complete loss of teeth due to periodontal diseases, a condition characterized by the progressive destruction of the supporting structures of the teeth, including the gums, periodontal ligament, and alveolar bone. Clinically, patients may present with symptoms such as gum inflammation, bleeding, and eventual tooth mobility leading to loss. The anatomy involved primarily includes the periodontal tissues, which are essential for tooth stability and health. Disease progression typically starts with gingivitis, an inflammation of the gums, which can advance to periodontitis if left untreated. In periodontitis, the inflammation extends deeper, leading to bone loss and tooth loss. Diagnostic considerations include clinical examinations, radiographic assessments, and periodontal probing to evaluate the extent of tissue destruction. Early diagnosis and intervention are crucial to prevent further tooth loss and manage the underlying periodontal disease effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough periodontal assessment and understanding of disease stages.
  • Treatment complexity: Involves multidisciplinary approaches including dental hygiene, surgical interventions, and possibly systemic treatments.
  • Documentation requirements: Detailed records of periodontal evaluations and treatment plans are necessary.
  • Coding specificity: Requires precise documentation to differentiate from other dental codes.

Audit Risk Factors

  • Common coding errors: Misclassification of the extent of tooth loss or incorrect linkage to periodontal disease.
  • Documentation gaps: Incomplete records of periodontal assessments or treatment history.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis of complete tooth loss due to periodontal disease.

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: Periodontics

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 K08.12 extends beyond individual patient health, impacting population health through increased healthcare utilization for dental treatments and potential systemic health implications associated with periodontal disease. Quality measures may include monitoring the prevalence of periodontal disease and its management in the population. Epidemiologically, complete tooth loss due to periodontal diseases is a significant concern, particularly in older adults, highlighting the need for preventive measures and effective treatment strategies.

ICD-9 vs ICD-10

The clinical significance of K08.12 extends beyond individual patient health, impacting population health through increased healthcare utilization for dental treatments and potential systemic health implications associated with periodontal disease. Quality measures may include monitoring the prevalence of periodontal disease and its management in the population. Epidemiologically, complete tooth loss due to periodontal diseases is a significant concern, particularly in older adults, highlighting the need for preventive measures and effective treatment strategies.

Reimbursement & Billing Impact

impact on tooth loss. Providers should ensure that all relevant clinical notes, treatment plans, and diagnostic imaging are included to support claims. Reimbursement considerations may vary based on the payer, and common denials often arise from insufficient documentation linking periodontal disease to tooth loss. Best practices include thorough documentation of the disease progression and treatment efforts, as well as regular updates to the patient's periodontal status.

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 K08.12?

K08.12 specifically covers complete loss of teeth attributed to periodontal diseases, including chronic periodontitis and aggressive periodontitis, where the loss is directly linked to the inflammatory process affecting the supporting structures of the teeth.

When should K08.12 be used instead of related codes?

K08.12 should be used when there is a complete loss of teeth due to periodontal disease, distinguishing it from K08.11, which is used for partial loss. Accurate assessment of the extent of tooth loss is critical for appropriate code selection.

What documentation supports K08.12?

Documentation should include comprehensive periodontal evaluations, radiographic evidence of bone loss, treatment history, and any relevant clinical findings that demonstrate the relationship between periodontal disease and complete tooth loss.