ICD-10-CM Billable Code

K08.4

Partial loss of teeth

Clinical Classification Guidelines

Inclusion Terms

  • Acquired loss of teeth, partial

Excludes Type 1

  • complete loss of teeth (K08.1-)
  • congenital absence of teeth (K00.0)

Excludes Type 2

  • exfoliation of teeth due to systemic causes (K08.0)

Medical Intelligence & Overview

Partial loss of teeth, medically known as partial edentulism, occurs when some teeth are missing but others remain in the mouth. This condition can affect chewing, speech, and the overall aesthetics of a person's smile. Recognized under ICD-10 code K08.4, it often results from dental decay, trauma, or periodontal disease, among other causes. Addressing partial tooth loss is important for maintaining oral health and function.

Causes & Symptoms

Clinical Causes: Tooth decay (dental caries) Periodontal (gum) disease Trauma or injury to teeth Tooth wear due to grinding or other factors Extraction due to decay or infection Congenital missing teeth (less common in acquired loss) Poor oral hygiene leading to deterioration Systemic conditions affecting dental health

Key Symptoms: Missing teeth in part of the mouth Difficulty chewing or biting Changes in speech or pronunciation Increased wear on remaining teeth Shifting of adjacent teeth Gum inflammation or sensitivity around missing areas Aesthetic concerns or smile changes Potential discomfort or soreness in the mouth

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive dental examination, which includes visual inspection and X-rays to confirm the presence and extent of missing teeth. The dentist evaluates the condition of the remaining teeth and surrounding tissues, assesses bone levels, and determines any associated issues such as infection or gum disease. Imaging helps in planning appropriate restorative treatments.

Treatment Protocols: Treatment options for partial tooth loss aim to restore function, improve appearance, and prevent further oral health issues. Common approaches include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K08.4 a billable ICD-10 code?
Yes, K08.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K08.4?
Clinical documentation must specify the nature of Partial loss of teeth and any associated comorbidities for accurate reporting.

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