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2025 ICD-10-CM code K05

Gingivitis and periodontal diseases.

Use additional codes to identify any underlying conditions or risk factors, such as tobacco use or systemic diseases that may contribute to the periodontal disease.

Medical necessity for treatment of gingivitis and periodontal diseases is established by the presence of inflammation, infection, and/or progressive bone loss that poses a risk to oral health.

Dentists, periodontists, and general practitioners are responsible for diagnosing and managing gingivitis and periodontal diseases.This includes a thorough examination, determining the extent of the disease, and providing appropriate treatment or referral to a specialist.

In simple words: This code refers to gum diseases, including gingivitis (gum inflammation) and periodontitis (more serious gum disease that can affect the bone supporting the teeth).

This code encompasses various inflammatory conditions affecting the gums and supporting structures of the teeth, ranging from simple gingivitis to more severe periodontitis.

Example 1: A patient presents with red, swollen gums that bleed easily when brushing. Upon examination, the dentist diagnoses gingivitis and recommends improved oral hygiene practices., A patient with a history of smoking and poor oral hygiene exhibits deep pockets between the teeth and gums, along with bone loss. The periodontist diagnoses chronic periodontitis and recommends scaling and root planing., A young adult presents with rapid and severe gum inflammation and bone loss. After a comprehensive evaluation, the periodontist diagnoses aggressive periodontitis and initiates treatment.

Documentation should include clinical findings such as gum inflammation, bleeding, pocket depths, bone loss, mobility of teeth, and any associated symptoms.Relevant medical history, including risk factors like smoking and systemic diseases, should also be documented.

** For more specific diagnoses, use the appropriate subcategories under K05 (e.g., K05.1 for chronic gingivitis, K05.2 for chronic periodontitis).Always refer to the most current ICD-10-CM coding guidelines for accurate reporting.

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