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K08.423

Billable

Partial loss of teeth due to periodontal diseases, class III

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

What This Code Means

Loss of some teeth caused by gum disease and bone loss, with tooth loss affecting both sides of the mouth in the back teeth area.

Coding Tips

  • Class III bilateral pattern requires documentation of bone loss on both sides
  • Link to periodontal treatment plan and maintenance records

Code Hierarchy

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