Partial loss of teeth due to other specified cause, class I

This code describes the partial absence of natural teeth in a patient, specifically when the remaining teeth and the edentulous areas are confined within the dental arch, without extending beyond the midline. The tooth loss is attributed to a cause other than caries, trauma, periodontal disease, or congenital factors. This classification (Class I) indicates that the edentulous area is bilateral and located posterior to the remaining natural teeth.

Use this code for patients presenting with partial edentulism where the cause is clearly documented as something other than the more common etiologies (e.g., iatrogenic, systemic disease manifestations, or idiopathic). Documentation should specify the Class I Kennedy classification, indicating bilateral posterior edentulous areas. This code is appropriate when the provider explicitly states "partial loss of teeth due to other specified cause, Class I."

• Ensure the documentation clearly specifies the cause of tooth loss as "other specified" and not one of the more common etiologies (e.g., K02.-, S02.5-, K05.-, K00.0).
• Verify the Kennedy Class I classification is explicitly documented, indicating bilateral posterior edentulous areas.
• Do not use this code if the tooth loss is due to caries, trauma, periodontal disease, or congenital absence; instead, refer to more specific codes within K02, S02.5, K05, or K00.0, respectively.