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ICD-10 Guide
ICD-10 CodesK08.8

K08.8

Non-billable

Other specified disorders of teeth and supporting structures

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

Code Description

ICD-10 K08.8 is a used to indicate a diagnosis of other specified disorders of teeth and supporting structures.

Key Diagnostic Point:

K08.8 refers to 'Other specified disorders of teeth and supporting structures,' which encompasses a variety of dental conditions that do not fall under more specific categories. Clinically, these disorders may present with symptoms such as tooth pain, sensitivity, swelling, or changes in the structure of the teeth and surrounding tissues. The anatomy involved includes the teeth, gums, periodontal ligaments, and alveolar bone. Disease progression can vary widely; some conditions may be acute and reversible, while others can lead to chronic issues, including tooth loss or systemic complications if left untreated. Diagnostic considerations for K08.8 include a thorough clinical examination, radiographic imaging, and possibly laboratory tests to rule out systemic diseases that may affect oral health. Conditions such as dental abscesses, periodontal disease, or enamel hypoplasia may be classified under this code when they do not fit into more specific categories. Accurate diagnosis is crucial for effective treatment planning and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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 K08.8 lies in its association with various dental disorders that can affect overall health and quality of life. Poor oral health can lead to systemic issues, impacting population health. Quality measures related to dental care often emphasize the importance of early diagnosis and treatment of dental disorders, which can reduce healthcare utilization patterns and improve patient outcomes. Epidemiologically, understanding the prevalence of these disorders can help in developing targeted public health interventions.

ICD-9 vs ICD-10

The clinical significance of K08.8 lies in its association with various dental disorders that can affect overall health and quality of life. Poor oral health can lead to systemic issues, impacting population health. Quality measures related to dental care often emphasize the importance of early diagnosis and treatment of dental disorders, which can reduce healthcare utilization patterns and improve patient outcomes. Epidemiologically, understanding the prevalence of these disorders can help in developing targeted public health interventions.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the services rendered are medically necessary and appropriately linked to the diagnosis. Common denials may arise from insufficient documentation or failure to provide a clear rationale for the treatment. Best practices include maintaining detailed clinical notes, ensuring that all services are coded accurately, and regularly reviewing payer guidelines to avoid billing challenges.

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 K08.8?

K08.8 covers a range of dental disorders including but not limited to dental abscesses, periodontal disease, and enamel hypoplasia that do not have a more specific code. It is essential to document the specific condition and its clinical presentation for accurate coding.

When should K08.8 be used instead of related codes?

K08.8 should be used when the dental condition does not fit into a more specific category, such as K08.1 for impacted teeth or K05 for periodontal disease. Proper clinical documentation is necessary to justify the use of this code.

What documentation supports K08.8?

Documentation should include a detailed clinical examination, patient history, radiographic findings, and any relevant laboratory tests. Clear notes on the patient's symptoms and the clinical rationale for the diagnosis are essential.