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ICD-10 Guide
ICD-10 CodesK08.432

K08.432

Billable

Partial loss of teeth due to caries, class II

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

Code Description

ICD-10 K08.432 is a billable code used to indicate a diagnosis of partial loss of teeth due to caries, class ii.

Key Diagnostic Point:

K08.432 refers to partial loss of teeth due to caries, specifically classified as class II. This condition typically involves the decay of the tooth structure, primarily affecting the enamel and dentin, leading to the loss of tooth integrity. Clinically, patients may present with sensitivity, pain, or visible cavities. The anatomy involved includes the tooth structure, particularly the crown and root, which may become compromised as caries progress. Disease progression can lead to further decay, potential abscess formation, and ultimately tooth loss if not addressed. Diagnostic considerations include clinical examination, radiographic assessment to evaluate the extent of caries, and possibly pulp vitality tests. Early detection and intervention are crucial to prevent further deterioration and maintain oral health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and imaging.
  • Treatment complexity: May involve restorative procedures such as fillings or crowns.
  • Documentation requirements: Detailed records of clinical findings and treatment plans are necessary.
  • Coding specificity: Requires precise coding to differentiate from other dental caries classifications.

Audit Risk Factors

  • Common coding errors: Misclassification of the extent of caries.
  • Documentation gaps: Incomplete records of clinical findings.
  • Billing challenges: Potential denials if documentation does not 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K08.432 lies in its potential to affect overall oral health and quality of life. Partial tooth loss can lead to difficulties in chewing and speaking, impacting nutrition and social interactions. From a population health perspective, addressing dental caries is vital for reducing healthcare utilization related to dental emergencies. Quality measures may include the prevalence of caries in specific populations, emphasizing the need for preventive care and education to mitigate the impact of dental diseases.

ICD-9 vs ICD-10

The clinical significance of K08.432 lies in its potential to affect overall oral health and quality of life. Partial tooth loss can lead to difficulties in chewing and speaking, impacting nutrition and social interactions. From a population health perspective, addressing dental caries is vital for reducing healthcare utilization related to dental emergencies. Quality measures may include the prevalence of caries in specific populations, emphasizing the need for preventive care and education to mitigate the impact of dental diseases.

Reimbursement & Billing Impact

reimbursement and to maintain thorough records to support claims. Best practices include regular audits of coding accuracy and ensuring that all services rendered are documented appropriately.

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 K08.432?

K08.432 specifically covers partial loss of teeth due to caries classified as class II, which involves moderate decay affecting the enamel and dentin but not extending to the pulp.

When should K08.432 be used instead of related codes?

K08.432 should be used when there is documented evidence of partial tooth loss due to caries classified as class II, distinguishing it from codes for complete loss or other classifications of caries.

What documentation supports K08.432?

Documentation should include clinical notes detailing the extent of caries, radiographic images showing the decay, and treatment plans outlining restorative procedures.