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ICD-10 Guide
ICD-10 CodesK08.192

K08.192

Billable

Complete loss of teeth due to other specified cause, class II

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

Code Description

ICD-10 K08.192 is a billable code used to indicate a diagnosis of complete loss of teeth due to other specified cause, class ii.

Key Diagnostic Point:

K08.192 refers to the complete loss of teeth due to other specified causes, classified as class II. This condition can arise from various factors, including systemic diseases, trauma, or dental neglect. Clinically, patients may present with significant oral dysfunction, impacting their ability to chew and speak, leading to nutritional deficiencies and psychosocial issues. The anatomy involved primarily includes the maxilla and mandible, as well as the periodontal structures that support the teeth. Disease progression can vary; for instance, conditions like diabetes or osteoporosis may accelerate tooth loss, while other factors like periodontal disease can lead to gradual deterioration. Diagnostic considerations include a thorough dental examination, radiographic imaging to assess bone loss, and a review of the patient's medical history to identify underlying causes. Understanding the etiology is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of dental and systemic health.
  • Treatment complexity: May involve multidisciplinary approaches including dentistry, nutrition, and possibly surgery.
  • Documentation requirements: Detailed documentation of the cause of tooth loss and treatment plans is essential.
  • Coding specificity: Requires precise coding to differentiate from other types of tooth loss.

Audit Risk Factors

  • Common coding errors: Misclassification of tooth loss causes can lead to incorrect coding.
  • Documentation gaps: Incomplete records regarding the cause of tooth loss may result in denials.
  • Billing challenges: Variability in reimbursement based on the specificity of the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.192 lies in its association with broader health issues, including malnutrition and psychosocial impacts due to impaired oral function. Population health impact is notable, as complete tooth loss can affect dietary choices and overall health, particularly in older adults. Quality measures may include tracking the prevalence of tooth loss and its causes, while healthcare utilization patterns may reflect increased visits to dental and medical providers for related complications. Epidemiologically, understanding the causes of tooth loss can inform public health initiatives aimed at prevention and education.

ICD-9 vs ICD-10

The clinical significance of K08.192 lies in its association with broader health issues, including malnutrition and psychosocial impacts due to impaired oral function. Population health impact is notable, as complete tooth loss can affect dietary choices and overall health, particularly in older adults. Quality measures may include tracking the prevalence of tooth loss and its causes, while healthcare utilization patterns may reflect increased visits to dental and medical providers for related complications. Epidemiologically, understanding the causes of tooth loss can inform public health initiatives aimed at prevention and education.

Reimbursement & Billing Impact

reimbursement.

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 K08.192?

K08.192 encompasses tooth loss due to various specified causes, including systemic diseases like diabetes, trauma, or other non-periodontal conditions that lead to complete edentulism.

When should K08.192 be used instead of related codes?

K08.192 should be used when tooth loss is attributed to causes other than periodontal disease or when the specific cause is documented as a significant factor in the patient's dental health.

What documentation supports K08.192?

Documentation should include a comprehensive dental examination, medical history indicating the underlying cause of tooth loss, treatment plans, and any relevant imaging studies.