2026 ICD-10-CM Diagnosis Code K08.434Partial loss of teeth due to caries, class IV

ICD-10-CM Codes›K00–K95›K00-K14›K08

ICD-10-CM K08.434
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K08.434 is a billable ICD-10-CM diagnosis code for partial loss of teeth due to caries, class IV. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 157 through 159. Coders also document this condition as partial edentulism class 4. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; Caries, periodontitis, and other preventable dental conditions; and Disorders of teeth and gingiva.

Code Identity

ICD-10-CM Code
K08.434
Billable Status
Yes — Valid for Submission
Code Describes
Partial loss of teeth due to caries, class IV
Short Description
Partial loss of teeth due to caries, class IV
Same as the full description in the CMS dataset.
Parent Code
K08.43
Partial loss of teeth due to caries

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK00-K14Diseases of oral cavity and salivary glands
CategoryK08Other disorders of teeth and supporting structures
This CodeK08.434Partial loss of teeth due to caries, class IV

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Partial edentulism class 4
  • Partial edentulism class IV due to caries
  • Partial edentulism due to caries

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Absence(of) (organ or part) (complete or partial)
      • teeth, tooth (congenital)
        • acquired (complete)
          • partial
            • due to
              • caries
                • class IV

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DEN001
Any dental condition including traumatic injury
Default principal diagnosis: inpatient No · outpatient No
CCSR DEN003
Caries, periodontitis, and other preventable dental conditions
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG002
Disorders of teeth and gingiva
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DEN002
Nontraumatic dental conditions
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Tooth Decay

Tooth decay is damage to a tooth's surface, or enamel. It happens when bacteria in your mouth make acids that attack the enamel. Tooth decay can lead to cavities (dental caries), which are holes in your teeth. If tooth decay is not treated, it can cause pain, infection, and even tooth loss.

The full article covers:

  • What is tooth decay?
  • What causes tooth decay?
  • Who is at risk for tooth decay?
  • What are the symptoms of tooth decay and cavities?
  • How are tooth decay and cavities diagnosed?
  • What are the treatments for tooth decay and cavities?
  • Can tooth decay be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K08.434 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
525.54 Part edentulism,class IV
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
525.13 Loss of teeth d/t caries
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K08.434Overview

Is K08.434 (Partial loss of teeth due to caries) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report partial loss of teeth due to caries, class IV on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K08.434 group to?

When partial loss of teeth due to caries, class IV is the principal diagnosis on an inpatient stay, it groups to MS-DRG 157, 158, 159, with relative weights from 0.7085 to 1.7168 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K08.434?

Under the General Equivalence Mappings, partial loss of teeth due to caries, class IV converts to ICD-9-CM 525.54 (part edentulism,class IV) and 525.13 (loss of teeth d/t caries). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.