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K08.131

Billable

Complete loss of teeth due to caries, class I

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

What This Code Means

Complete loss of all teeth caused by tooth decay (cavities), affecting the upper jaw on one side only (Class I).

Coding Tips

  • Confirm that caries is the primary etiology for complete tooth loss, not periodontal disease or trauma
  • Class I represents the least severe distribution pattern affecting one quadrant

Code Hierarchy

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