Dental Writer

DentalWriter Forum

Your central resource for DentalWriter posts, blogs, training resources, faq's, and more.

Notification

Icon
Error
New Topic Post Reply
Question Dental Implant Diagnosis Code
Options Go to last post Go to first unread
Previous Topic Next Topic
Liz
#1 Posted : Thursday, April 19, 2018 9:45:41 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 17,273

Was thanked: 16 time(s) in 15 post(s)
I was wondering if anyone has had luck coding for a dental implant that is a replacing a tooth lost to dental caries? I confirmed with the patient that there wasn't trauma/accident that caused her to loose the tooth. I searched other forums in this section and did not see a thread with this exact question addressed. It does seem like this will probably be a cosmetic procedure though, but before I give up wanted to see if you all had any ideas.

Thank you in advance for your help!
Back to top
courtneydsnow
#2 Posted : Monday, April 23, 2018 8:33:21 AM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Liz!

Great question. As you mentioned, if it is 1 tooth lost due to carries, and there is no trauma, infection, problems with eating, atrophy, etc - it will likely be deemed dental/cosmetic in nature rather than medical in nature.

However, here are the ICD-10 codes for partial loss of teeth due to caries:

o K08.431 - Partial loss of teeth due to caries, class I
o K08.432 - Partial loss of teeth due to caries, class II
o K08.433 - Partial loss of teeth due to caries, class III
o K08.434 - Partial loss of teeth due to caries, class IV
o K08.439 - Partial loss of teeth due to caries, unspecified class


Also some additional coding options for periodontitis and/or caries:

• K05.211 - Aggressive periodontitis, localized, slight
• K05.212 - Aggressive periodontitis, localized, moderate
• K05.213 - Aggressive periodontitis, localized, severe
• K05.219 - Aggressive periodontitis, localized, unspecified severity
• K05.221 - Aggressive periodontitis, generalized, slight
• K05.222 - Aggressive periodontitis, generalized, moderate
• K05.223 - Aggressive periodontitis, generalized, severe
• K05.229 - Aggressive periodontitis, generalized, unspecified severity
• K05.311 - Chronic periodontitis, localized, slight
• K05.312 - Chronic periodontitis, localized, moderate
• K05.313 - Chronic periodontitis, localized, severe
• K05.319 - Chronic periodontitis, localized, unspecified severity
• K05.321 - Chronic periodontitis, generalized, slight
• K05.322 - Chronic periodontitis, generalized, moderate
• K05.323 - Chronic periodontitis, generalized, severe
• K05.329 - Chronic periodontitis, generalized, unspecified severity
• K05.10 - Chronic gingivitis, plaque induced
• K05.11 - Chronic gingivitis, non-plaque induced
• K02.3 - Arrested dental caries
• K02.51 - Dental caries on pit and fissure surface limited to enamel
• K02.52 - Dental caries on pit and fissure surface penetrating into dentin
• K02.53 - Dental caries on pit and fissure surface penetrating into pulp
• K02.61 - Dental caries on smooth surface limited to enamel
• K02.62 - Dental caries on smooth surface penetrating into dentin
• K02.63 - Dental caries on smooth surface penetrating into pulp
• K02.7 - Dental root caries
• K02.9 - Dental caries, unspecified


Hope this helps!
Back to top
Guest
#3 Posted : Monday, April 23, 2018 10:23:29 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 17,273

Was thanked: 16 time(s) in 15 post(s)
What differentiates the classes for the codes K08.431-K08.439? Thank you!
Back to top
courtneydsnow
#4 Posted : Monday, April 23, 2018 2:09:18 PM(UTC)
Quote
courtneydsnow

Rank: Administration

Joined: 11/21/2012(UTC)
Posts: 1,611

Thanks: 39 times
Was thanked: 51 time(s) in 51 post(s)
Hi Guest!

Great question. A good rule of thumb to go by is the following remaining bone height:

Class I - 21mm >
Class II - 16-20mm
Class II - 11-15mm
Class III - < 11 mm

Hope this helps!
Back to top
Guest
#5 Posted : Wednesday, April 25, 2018 8:25:26 AM(UTC)
Quote
Guest

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 17,273

Was thanked: 16 time(s) in 15 post(s)
Thank you for your help!
Back to top
Quick Reply Show Quick Reply
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You can delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You can vote in polls in this forum.

Powered by YAF | YAF © 2003-2024, Yet Another Forum.NET