K08.494 — Partial loss of teeth due to other specified cause, class IV
Is K08.494 billable?
Yes, but K08.494 is an unspecified code. K08.494 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, K08.494 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting K08.494 — the more specific alternatives are listed below.
More specific alternatives
K08.494 at a glance
| Code | K08.494 |
|---|---|
| Description | Partial loss of teeth due to other specified cause, class IV |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does K08.494 group to?
K08.494 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
How is K08.494 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to K08.494. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Absence › teeth, tooth › acquired › partial › due to › specified NEC › class IV (of) (organ or part) (complete or partial)
Excludes1 — never code together — inherited from K08.4
The conditions below can never be reported together with K08.494 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K08.494, but a patient may have both at the same time. When documentation supports it, K08.494 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from K08
The conditions below are not part of K08.494, but a patient may have both at the same time. When documentation supports it, K08.494 and the excluded code may both be reported.
Excludes2 — not included here — inherited from K08.4
The conditions below are not part of K08.494, but a patient may have both at the same time. When documentation supports it, K08.494 and the excluded code may both be reported.
- exfoliation of teeth due to systemic causes (K08.0)
How long has K08.494 existed?
K08.494 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.