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K08.433

Billable

Partial loss of teeth due to caries, 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 tooth decay (cavities), classified as class III severity based on the extent of tooth loss.

Coding Tips

  • Class III indicates loss of 12 or more but fewer than 16 teeth; ensure documentation specifies the number of missing teeth
  • This represents more significant tooth loss than class II but less than class IV

Code Hierarchy

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