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K00.4

Billable

Disturbances in tooth formation

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Problems with how teeth develop and form, including incomplete or abnormal development of tooth structure.

Coding Tips

  • •Specify which teeth are affected and the nature of the disturbance when documented
  • •Distinguish from eruption problems and other developmental anomalies

Excludes 1 — Do NOT code together

  • Hutchinson's teeth and mulberry molars in congenital syphilis (A50.5)

Excludes 2 — Not included here, may code separately

Code Hierarchy

└K00Disorders of tooth development and eruption└K00.4Disturbances in tooth formation
└K00.4Disturbances in tooth formation

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