Loss of Teeth F054

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/h-l/loss-teeth-f054-k081k083

Last amended

Rulebase for loss of teeth

<h5><strong>Current RMA Instruments</strong></h5><table width="100%" border="1" cellspacing="1" cellpadding="0"><tbody><tr><td><p><em><u><a href="http://www.rma.gov.au/sops/condition/loss-of-teeth&quot; target="_blank">Reasonable Hypothesis SOP</a></u></em></p></td><td><p>124 of 2015 as amended</p></td></tr><tr><td><p><em><u><a href="http://www.rma.gov.au/sops/condition/loss-of-teeth&quot; target="_blank">Balance of Probabilities SOP </a></u></em></p></td><td><p>125 of 2015 as amended</p></td></tr></tbody></table><h5><strong>Changes from previous Instruments</strong></h5><p> <drupal-media data-entity-type="media" data-entity-uuid="ef80cc07-a48d-4080-97d2-81eaf99ef611" data-view-mode="wysiwyg"></drupal-media></p><h5><strong>ICD Coding</strong></h5><ul><li>ICD-9-CM Codes: 525.1, 525.3</li><li>ICD-10-AM Codes: K08.1, K08.3</li></ul><h5><strong>Confirming the diagnosis</strong></h5><p>Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. </p><h5><strong>Additional diagnoses covered by SOP</strong></h5><p>Surgical extraction of tooth</p><h5><strong>Conditions not covered by SOP</strong></h5><ul><li>Dental caries*</li><li>Dental pulp disease*</li><li>Periodontitis*</li><li>Tooth wear*</li></ul><p>* another SOP applies</p><h5><strong>Clinical onset</strong></h5><p>Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.</p><h5><strong>Clinical worsening</strong></h5><p>The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.</p><h5> </h5>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth

Avulsion and subsequent replantation of a tooth

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/avulsion-and-subsequent-replantation-tooth

Dental caries

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/dental-caries

Dental pulp disease

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/dental-pulp-disease

Direct physical trauma resulting in avulsion of the tooth

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/direct-physical-trauma-resulting-avulsion-tooth

Fracture or disruption of the alveolar bone

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/fracture-or-disruption-alveolar-bone

Fracture or luxation of the tooth

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/fracture-or-luxation-tooth

Inability to obtain appropriate clinical management for loss of teeth

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/inability-obtain-appropriate-clinical-management-loss-teeth

Periodontitis

Current RMA Instruments

Reasonable Hypothesis SOP

124 of 2015 as amended

Balance of Probabilities SOP

125 of 2015 as amended

Changes from previous Instruments

 

ICD Coding
  • ICD-9-CM Codes: 525.1, 525.3
  • ICD-10-AM Codes: K08.1, K08.3
Confirming the diagnosis

Confirmation of tooth loss requires a dental/medical report or dental records that identifies the affected tooth/teeth.  The tooth or teeth affected should be specified in the diagnostic label used. 

Additional diagnoses covered by SOP

Surgical extraction of tooth

Conditions not covered by SOP
  • Dental caries*
  • Dental pulp disease*
  • Periodontitis*
  • Tooth wear*

* another SOP applies

Clinical onset

Each loss of a tooth, or of a group of teeth at one time from one cause, represents a separate clinical onset.  Clinical onset will be when the tooth/teeth came out rather than when a disease or injury that led to subsequent tooth loss occurred.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Any later consequences following loss of a tooth or teeth would represent a new condition rather than a permanent worsening of loss of teeth.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/loss-teeth-f054-k081k083/rulebase-loss-teeth/periodontitis