2025 ICD-10-CM code K05.11
(Active) Effective Date: N/A Revision Date: N/A Diseases of the digestive system - Diseases of oral cavity and salivary glands Diseases of the digestive system Feed
Chronic gingivitis not caused by plaque buildup.
Medical necessity for treatment is established by the presence of chronic gum inflammation causing discomfort, bleeding, or potential progression to periodontitis.Treatment aims to alleviate symptoms, improve oral health, and prevent complications.
The clinical responsibility for diagnosing and treating K05.11 falls upon dentists and periodontists.They assess the patient’s oral health, determine the underlying cause of the gingivitis, and develop a treatment plan.If a systemic condition contributes to the gingivitis, collaboration with other medical specialists may be necessary.
In simple words: This code describes a type of gum disease (gingivitis) that isn't caused by plaque.It can be due to other things like infections, allergies, or other health problems.
K05.11, Chronic gingivitis, non-plaque induced, is an ICD-10-CM code that classifies chronic inflammation of the gums not resulting from dental plaque accumulation.This condition may stem from various factors, including systemic diseases, infections (bacterial, viral, or fungal), allergic reactions, or reactions to foreign bodies.It's crucial to distinguish this from plaque-induced gingivitis, which is primarily caused by bacterial plaque buildup.
Example 1: A patient presents with persistently inflamed gums that are not responding to routine oral hygiene measures.A thorough examination reveals no significant plaque buildup, leading to a diagnosis of K05.11.Further investigation reveals a possible autoimmune link. , A patient with poorly controlled diabetes exhibits chronic gum inflammation despite diligent brushing and flossing.The dentist diagnoses K05.11, emphasizing the connection between the patient's diabetes and their gum health.Treatment focuses on both blood sugar control and gum care., A patient experiences gum inflammation following a reaction to a new toothpaste containing a specific ingredient.The dentist diagnoses K05.11 and recommends switching to a different toothpaste to resolve the inflammation.No evidence of plaque or infection is observed.
Detailed clinical examination notes including gingival assessment, periodontal probing depths, presence/absence of plaque and calculus, and photographs.Relevant diagnostic testing results, such as blood work to rule out systemic causes, should be included.Treatment plan notes and patient response to treatment should also be documented.
** This code is for chronic gingivitis; acute gingivitis has a different code. Always ensure proper documentation to support the diagnosis.Careful consideration is essential to differentiate K05.11 from other conditions that might cause similar symptoms.Further investigation might be needed to identify the underlying cause of the non-plaque induced gingivitis.
- Payment Status: Active
- Specialties:Dentistry, Periodontics
- Place of Service:Office, Dental clinic