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K08.431

Billable

Partial 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

Loss of some teeth caused by tooth decay, with minimal tooth loss affecting a small area of the mouth.

Coding Tips

  • •Ensure dental caries diagnosis is documented separately (K02.x codes)
  • •Class I indicates limited extent; confirm with caries assessment documentation

Code Hierarchy

└K08Other disorders of teeth and supporting structures└K08.4Partial loss of teeth└K08.43Partial loss of teeth due to caries└K08.431Partial loss of teeth due to caries, class I
└K08.431Partial loss of teeth due to caries, class I

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