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K08.26

Billable

Severe atrophy of the maxilla

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

What This Code Means

Significant loss of bone in the upper jaw (maxilla) that has reached an advanced stage, often severely limiting denture fit or implant placement.

Coding Tips

  • Document the severity level clearly in clinical notes to justify the 'severe' designation
  • Consider noting functional impact on denture retention or candidacy for dental implants

Code Hierarchy

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