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2025 ICD-10-CM code K05.222

Aggressive periodontitis, generalized, moderate.

This code should be used in conjunction with codes reflecting the treatment provided (e.g., scaling and root planing codes).Accurate documentation is crucial for appropriate code assignment.

Modifiers may be applicable depending on the specific treatment performed. Consult the latest CPT and HCPCS coding guidelines.

Medical necessity for this diagnosis code is established by clinical findings of rapid periodontal disease progression, significant inflammation, and bone loss. Treatment is necessary to prevent further tooth loss and maintain overall oral health. The severity (moderate) is determined based on the extent of attachment loss and bone destruction seen on clinical examination and radiographs.

Diagnosis and treatment of periodontal disease by a dentist or periodontist. This includes clinical examination, radiographic assessment, periodontal probing, and treatment planning. The treatment could range from nonsurgical procedures (scaling and root planing) to surgical interventions (e.g., flap surgery, bone grafting).

IMPORTANT:K05.22 (Aggressive periodontitis, generalized), K05.223 (Aggressive periodontitis, generalized, severe), K05.229 (Aggressive periodontitis, generalized, unspecified severity)

In simple words: This code describes a type of severe gum disease where many teeth are affected and the disease is progressing rapidly. It causes gum inflammation and bone loss around the teeth.

This ICD-10-CM code signifies aggressive periodontitis affecting multiple teeth, classified as moderate in severity.It indicates a rapid progression of periodontal disease, resulting in significant inflammation and bone loss around multiple teeth.The diagnosis requires clinical assessment of periodontal pockets, attachment loss, and radiographic evidence of bone destruction.

Example 1: A 35-year-old patient presents with significant gingival inflammation, bleeding on probing, and deep periodontal pockets around multiple teeth. Radiographs reveal moderate bone loss. This clinical picture is consistent with aggressive generalized moderate periodontitis., A 28-year-old patient shows rapid progression of periodontal disease over the past year, with increasing bone loss despite regular oral hygiene. Multiple teeth exhibit deep pockets and significant inflammation, aligning with the criteria for aggressive generalized moderate periodontitis., A 40-year-old patient has a history of aggressive periodontitis.Recent periodontal charting reveals moderate bone loss and pocket depths in multiple quadrants. Despite previous treatment, the disease has progressed at a faster rate than expected, requiring additional intervention and coding as moderate generalized aggressive periodontitis.

** This code is specifically for aggressive periodontitis, and should not be used for chronic periodontitis.Differentiating between aggressive and chronic periodontitis is based on the rate of progression and patient age of onset.Accurate diagnosis is critical for treatment planning and reimbursement.

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