ICD-10-CM Billable Code

K08.42

Partial loss of teeth due to periodontal diseases

Clinical Classification Guidelines

Medical Intelligence & Overview

Partial tooth loss resulting from periodontal disease is a common dental issue that affects many individuals worldwide. This condition involves the gradual deterioration of the structures supporting the teeth, leading to the loosening and eventual loss of some, but not all, of the teeth. Recognized clinically with the ICD-10 code K08.42, this condition underscores the importance of oral health and timely intervention to prevent further dental deterioration.

Causes & Symptoms

Clinical Causes: Progressive periodontal (gum) infection caused by bacteria accumulated along the gum line Poor oral hygiene practices leading to plaque buildup Smoking and tobacco use, which impair immune response and gum healing Genetic predisposition influencing susceptibility to periodontal disease Poor nutrition affecting gum and bone health Hormonal changes, such as during pregnancy or menopause, influencing gum sensitivity Certain illnesses like diabetes that impair immune function Misaligned teeth or dental appliances that hinder proper cleaning

Key Symptoms: Bleeding gums, especially during brushing or flossing Swollen, red, or tender gums Persistent bad breath or a foul taste in the mouth Receding gums, exposing more of the tooth surface Loosening of teeth or feeling that teeth are shifting Changes in the bite or fitting of dental prostheses Pus between the teeth and gums in advanced cases Sensitivity to hot, cold, or sweet foods

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive dental examination by a healthcare professional, including:

Treatment Protocols: Managing partial tooth loss due to periodontal disease focuses on halting disease progression and restoring oral health. Treatment options 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 K08.42 a billable ICD-10 code?
Yes, K08.42 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K08.42?
Clinical documentation must specify the nature of Partial loss of teeth due to periodontal diseases and any associated comorbidities for accurate reporting.

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