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ICD-10 Guide
ICD-10 CodesK08.41

K08.41

Non-billable

Partial loss of teeth due to trauma

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

Code Description

ICD-10 K08.41 is a used to indicate a diagnosis of partial loss of teeth due to trauma.

Key Diagnostic Point:

K08.41 refers to partial loss of teeth due to trauma, which can occur from various incidents such as accidents, falls, or sports injuries. Clinically, this condition presents as the loss of one or more teeth, which can lead to functional and aesthetic concerns. The anatomy involved primarily includes the dental structures, including the crown, root, and surrounding periodontal tissues. The disease progression may vary, with immediate effects such as pain and swelling, followed by potential complications like infection or further tooth loss if not managed properly. Diagnostic considerations include a thorough clinical examination, radiographic imaging to assess the extent of damage, and evaluation of the patient's dental history. Treatment may involve restorative procedures, such as crowns or bridges, and in some cases, surgical intervention may be necessary to address underlying issues or to replace lost teeth.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of the type of tooth loss.
  • Documentation gaps may arise if the cause of trauma is not clearly stated.
  • Billing challenges can occur if the treatment plan is not adequately documented.

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 K08.41 lies in its potential to affect a patient's quality of life, impacting their ability to eat, speak, and maintain oral hygiene. Population health impact includes the need for preventive measures in high-risk groups, such as athletes. Quality measures may focus on timely interventions and patient education regarding dental trauma. Understanding healthcare utilization patterns related to dental trauma can inform public health initiatives aimed at reducing incidence rates.

ICD-9 vs ICD-10

The clinical significance of K08.41 lies in its potential to affect a patient's quality of life, impacting their ability to eat, speak, and maintain oral hygiene. Population health impact includes the need for preventive measures in high-risk groups, such as athletes. Quality measures may focus on timely interventions and patient education regarding dental trauma. Understanding healthcare utilization patterns related to dental trauma can inform public health initiatives aimed at reducing incidence rates.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the treatment aligns with the diagnosis and that all services rendered are justified. Common denials may arise from insufficient documentation or failure to provide a clear treatment plan. Best practices include maintaining thorough records of patient interactions, treatment rationale, and follow-up care to support claims.

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 K08.41?

K08.41 covers conditions where one or more teeth are partially lost due to trauma, including fractures, avulsions, or other injuries that compromise tooth integrity.

When should K08.41 be used instead of related codes?

K08.41 should be used when there is a documented partial loss of teeth specifically due to trauma, differentiating it from other codes that may pertain to loss due to decay or congenital conditions.

What documentation supports K08.41?

Documentation should include a detailed account of the trauma, clinical findings, treatment plans, and any imaging studies that support the diagnosis of partial tooth loss.