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K02.9

Billable

Dental caries, unspecified

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

What This Code Means

Tooth decay or cavities when the specific type or location cannot be determined or is not documented.

Coding Tips

  • Use this code only when the provider documentation does not specify the type of caries (coronal, root, or smooth surface)
  • Query the provider if more specific caries information is available in clinical notes to assign a more specific code

Code Hierarchy

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