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ICD-10 Guide
ICD-10 CodesK08.89

K08.89

Billable

Other specified disorders of teeth and supporting structures

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

Code Description

ICD-10 K08.89 is a billable code used to indicate a diagnosis of other specified disorders of teeth and supporting structures.

Key Diagnostic Point:

K08.89 refers to other specified disorders of teeth and supporting structures, which can encompass a variety of conditions affecting the dental and periodontal tissues. Clinically, these disorders may present with symptoms such as tooth sensitivity, pain, swelling, and changes in the appearance of teeth or gums. The anatomy involved primarily includes the teeth, gums, periodontal ligaments, and alveolar bone. Disease progression can vary widely, with some conditions being acute and reversible, while others may lead to chronic issues such as periodontal disease or tooth loss if left untreated. Diagnostic considerations include a thorough clinical examination, radiographic imaging, and possibly laboratory tests to rule out systemic conditions that may affect oral health. It is essential for healthcare providers to differentiate these disorders from more common conditions such as dental caries or periodontal disease to ensure appropriate management and treatment plans.

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 K08.89 lies in its potential to affect overall oral health and, by extension, systemic health. Disorders of the teeth and supporting structures can lead to complications such as infections, pain, and impaired function, which may impact quality of life. Understanding the epidemiology of these conditions can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving healthcare utilization patterns and patient outcomes.

ICD-9 vs ICD-10

The clinical significance of K08.89 lies in its potential to affect overall oral health and, by extension, systemic health. Disorders of the teeth and supporting structures can lead to complications such as infections, pain, and impaired function, which may impact quality of life. Understanding the epidemiology of these conditions can help healthcare providers identify at-risk populations and implement preventive measures, ultimately improving healthcare utilization patterns and patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical evidence and that any procedures performed are appropriately coded. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining clear and comprehensive patient records, using precise coding, and ensuring that all services rendered are justified by the patient's condition.

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 K08.89?

K08.89 covers a range of conditions including but not limited to dental abscesses, enamel hypoplasia, and other non-specific disorders affecting the teeth and supporting structures that do not fall under more defined categories.

When should K08.89 be used instead of related codes?

K08.89 should be used when the specific disorder affecting the teeth or supporting structures does not fit into existing codes like K08.1 or K08.2, and when the condition is documented clearly as a unique disorder.

What documentation supports K08.89?

Documentation should include clinical findings, patient history, radiographic evidence, and any treatment plans or referrals made. Detailed notes on the nature of the disorder and its impact on the patient's oral health are crucial.