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2025 ICD-10-CM code K05.00

Acute gingivitis, plaque-induced.

Code should reflect the severity and extent of the gingivitis. Additional codes may be necessary to specify other contributing factors or complications.

Medical necessity is established when the patient presents with symptoms and clinical findings consistent with acute gingivitis, requiring treatment and intervention to prevent further progression to periodontitis.

Diagnosis and treatment of gingival inflammation; may include patient education on oral hygiene.

IMPORTANT:Excludes acute necrotizing ulcerative gingivitis (A69.1), herpesviral [herpes simplex] gingivostomatitis (B00.2).

In simple words: This code describes a common gum infection (gingivitis) caused by plaque buildup.The gums become red, swollen, and may bleed easily.

Acute gingivitis, plaque-induced, is an inflammatory condition of the gums characterized by redness, swelling, and bleeding.It's primarily caused by the accumulation of plaque, a sticky film of bacteria that forms on the teeth.

Example 1: A patient presents with red, swollen gums that bleed easily during brushing.Examination reveals plaque buildup along the gum line. A diagnosis of acute gingivitis, plaque-induced (K05.00) is made., A pregnant woman experiences increased gingival inflammation and bleeding due to hormonal changes.The diagnosis of K05.00 is applied, and additional coding may be necessary to reflect the pregnancy-related factors., A patient with poorly controlled diabetes presents with severe gingivitis.K05.00 is coded, and additional codes might be used to represent the underlying diabetic condition and its impact on the oral health.

** Consider additional codes for specific causative agents (e.g., viral, bacterial) if identified.Also, consider codes for related conditions like periodontitis if present.

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