2025 ICD-10-CM code K03.6
(Active) Effective Date: N/A Revision Date: N/A Diseases of oral cavity and salivary glands - Other diseases of hard tissues of teeth Diseases of the digestive system Feed
This code represents deposits or accretions on teeth, including dental plaque and calculus.
Medical necessity for treatment related to K03.6 is established by the presence of deposits that impact oral health, potentially leading to caries, periodontal disease, or aesthetic concerns.The extent and severity of the deposits determine the treatment's medical necessity.
The clinical responsibility for this diagnosis typically falls upon a dentist or periodontist.They would conduct the examination, diagnosis, and determine the appropriate treatment plan which might involve scaling, cleaning, and patient education on oral hygiene.
In simple words: This code describes when you have buildup (like plaque or tartar) or discoloration on your teeth.This can be from things like food, bacteria, or habits like smoking or chewing betel nut.
K03.6, Deposits [accretions] on teeth, encompasses various forms of dental deposits, such as dental plaque, calculus (tartar), extrinsic staining from sources like tobacco or betel nut, and other discolorations.These deposits can accumulate on both the visible surfaces of teeth and subgingivally (below the gum line). The appearance can vary in color, including green, white, brown, or orange.This code distinguishes from other conditions affecting tooth hard tissues like caries, erosion, or attrition.
Example 1: A patient presents with visible brown staining on their teeth due to tobacco use.K03.6 is used to code this finding., A patient exhibits significant subgingival calculus requiring professional cleaning. K03.6 is used in conjunction with codes describing the periodontal disease., A child presents with green staining on their teeth, likely due to poor oral hygiene. K03.6 is used to bill for the diagnosis.
Documentation should include a detailed description of the deposits observed, their location (supra- or subgingival), color, and extent.Clinical photographs or intraoral images are helpful.Note any contributing factors, such as poor oral hygiene, tobacco use, or dietary habits.If associated periodontal disease is present, that should be documented and coded separately.
** This code is primarily used in dental settings.It's crucial to differentiate between deposits and other conditions affecting tooth structure, such as caries or erosion.
- Payment Status: Active
- Specialties:Dentistry, Periodontics
- Place of Service:Office, Dental Clinic