2025 ICD-10-CM code A69.1
(Active) Effective Date: N/A Infectious and parasitic diseases - Other spirochetal diseases Certain infectious and parasitic diseases (A00-B99) Feed
Other Vincent's infections. This includes conditions like Fusospirochetal pharyngitis, Necrotizing ulcerative (acute) gingivitis, Necrotizing ulcerative (acute) gingivostomatitis, Spirochetal stomatitis, Trench mouth, Vincent's angina, and Vincent's gingivitis.
Medical necessity for treating Vincent's infection is established by the presence of signs and symptoms such as painful inflammation, ulcers, and necrosis in the oral cavity.The severity of the infection and the potential for complications, such as periodontal ligament loss, justify the need for medical intervention.
Physicians diagnose Vincent's infection based on patient history, oral examination, and sometimes X-rays. Treatment typically involves cleaning the infected area, antibiotics (like metronidazole), and pain relievers. Patient education on oral hygiene is crucial for prevention.
In simple words: Vincent's infection is a mouth infection affecting the gums. It can cause sore, bleeding gums, bad breath, and difficulty eating. In severe cases, it can lead to more serious gum problems.
Other Vincent's infections encompasses various oral infections primarily affecting the gums. These infections often present with inflammation, ulcers, and necrotic lesions, potentially leading to periodontal ligament loss in severe cases.Common manifestations include painful, bleeding gums, difficulty eating or swallowing, impaired taste, halitosis (bad breath), low-grade fever, inflammation of the oral mucosa, painful ulcers with necrosis, increased saliva secretion, and enlarged cervical lymph nodes.
Example 1: A patient presents with painful, bleeding gums, bad breath, and difficulty swallowing. Upon examination, the physician observes inflammation and ulceration of the gums, consistent with Vincent's angina. The diagnosis is confirmed, and the patient is prescribed antibiotics and advised on proper oral hygiene., A malnourished individual experiencing homelessness presents with severe gum inflammation, necrosis, and foul-smelling breath. The clinical findings point towards Trench mouth (a severe form of Vincent's infection), and the patient is treated aggressively with antibiotics and debridement of the necrotic tissue., A patient undergoing chemotherapy presents with painful ulcers and bleeding gums. After ruling out other causes, the physician diagnoses the patient with necrotizing ulcerative gingivitis, a type of Vincent's infection.Treatment is initiated, and the patient is closely monitored due to their immunocompromised state.
Documentation should include details of the oral examination (e.g., location and extent of inflammation, ulcers, necrosis), patient symptoms (pain, bleeding, difficulty eating, bad breath), and any relevant medical history (e.g., malnutrition, immunosuppression). If X-rays are taken, the findings should also be documented.
- Payment Status: Active
- Specialties:Dentists, Oral Surgeons,Infectious Disease Specialists,Primary Care Physicians
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Federally Qualified Health Center, Homeless Shelter