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ICD-10 Guide
ICD-10 CodesK08.24

K08.24

Billable

Minimal atrophy of maxilla

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

Code Description

ICD-10 K08.24 is a billable code used to indicate a diagnosis of minimal atrophy of maxilla.

Key Diagnostic Point:

K08.24 refers to minimal atrophy of the maxilla, a condition characterized by the gradual loss of bone mass in the upper jaw. This atrophy can result from various factors, including prolonged edentulousness (absence of teeth), periodontal disease, or systemic conditions affecting bone metabolism. Clinically, patients may present with facial asymmetry, altered occlusion, and difficulties in mastication, which can lead to nutritional deficiencies if not addressed. The maxilla is crucial for both aesthetic and functional aspects of the oral cavity, and its atrophy can significantly impact speech and swallowing. Disease progression may vary, with some patients experiencing rapid deterioration while others may remain stable for years. Diagnostic considerations include clinical examination, imaging studies such as panoramic radiographs, and possibly CT scans to assess the extent of atrophy and plan for potential interventions like dental implants or bone grafting. Early identification and management are essential to prevent further complications and improve the patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical correlation
  • Treatment complexity: May involve multidisciplinary approaches including oral surgery and prosthodontics
  • Documentation requirements: Detailed clinical notes and imaging reports needed
  • Coding specificity: Specific to minimal atrophy, differentiating from other maxillary conditions

Audit Risk Factors

  • Common coding errors: Misclassification with other maxillary conditions
  • Documentation gaps: Incomplete clinical notes or lack of imaging
  • Billing challenges: Potential denials if not adequately justified in documentation

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 K08.24 lies in its potential to affect a patient's quality of life, including difficulties in eating and speaking. Population health impact includes the need for increased dental care and potential surgical interventions, which can strain healthcare resources. Quality measures may focus on the timely diagnosis and management of maxillary atrophy to prevent further complications. Understanding epidemiological patterns can help in identifying at-risk populations and tailoring preventive strategies.

ICD-9 vs ICD-10

The clinical significance of K08.24 lies in its potential to affect a patient's quality of life, including difficulties in eating and speaking. Population health impact includes the need for increased dental care and potential surgical interventions, which can strain healthcare resources. Quality measures may focus on the timely diagnosis and management of maxillary atrophy to prevent further complications. Understanding epidemiological patterns can help in identifying at-risk populations and tailoring preventive strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of procedures related to maxillary atrophy, such as bone grafting or dental implants. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the procedures. Coders should ensure that all relevant clinical information is included in the claim to support the diagnosis and associated treatments.

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 K08.24?

K08.24 specifically covers minimal atrophy of the maxilla, which may arise from tooth loss, periodontal disease, or systemic conditions affecting bone density. It does not include severe atrophy or conditions affecting the mandible.

When should K08.24 be used instead of related codes?

K08.24 should be used when there is documented minimal atrophy of the maxilla without significant associated conditions. It is crucial to differentiate it from more severe forms of atrophy or other maxillary disorders.

What documentation supports K08.24?

Documentation should include clinical findings of atrophy, imaging studies showing bone loss, and any relevant history of dental conditions. Detailed notes on the patient's functional status and treatment plan are also essential.