2025 ICD-10-CM code K05.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of oral cavity and salivary glands - Gingivitis and periodontal diseases Diseases of the digestive system Feed
Chronic gingivitis, a long-term inflammation of the gums.
Modifiers may be applicable depending on the specific procedures performed (e.g., modifiers for bilateral involvement or different levels of service).
Medical necessity for the diagnosis and treatment of chronic gingivitis is established by the presence of clinical signs and symptoms of gum inflammation, such as redness, swelling, bleeding, and potential gum recession.The severity of symptoms and potential for progression to periodontitis justify intervention to prevent tooth loss and maintain oral health.
The clinical responsibility for diagnosing and managing chronic gingivitis typically falls on dentists or periodontists.This involves conducting thorough oral examinations, assessing plaque accumulation, and providing appropriate treatment and preventative care recommendations.
In simple words: Chronic gingivitis is a long-lasting gum infection that makes your gums red, swollen, and prone to bleeding. This usually happens because of poor oral hygiene, leading to plaque buildup.If left untreated, it could get worse and affect your teeth.
Chronic gingivitis is a persistent inflammation of the gums, often caused by plaque buildup and poor oral hygiene.It can manifest as redness, swelling, bleeding, and potential gum recession.While typically not as severe as periodontitis, untreated chronic gingivitis can progress to more serious gum disease and potential tooth loss.The diagnosis is made through clinical examination, including assessment of gum tissue health, and may be supported by radiographic imaging to rule out bone loss.
Example 1: A 45-year-old patient presents with persistent gum redness, swelling, and bleeding during brushing for the past six months.Clinical examination reveals chronic gingivitis with moderate plaque accumulation.Treatment involves professional cleaning, oral hygiene instruction, and follow-up appointments., A 28-year-old patient with a history of poor oral hygiene exhibits chronic gingivitis with evidence of mild gum recession.The dentist performs scaling and root planing and prescribes antimicrobial mouthwash to control the inflammation., A 60-year-old patient with controlled diabetes presents with chronic gingivitis and increased bleeding.The periodontist performs a more extensive periodontal treatment plan which includes scaling, root planing, and possible surgical intervention.
Comprehensive documentation should include a detailed history of present illness, noting duration and severity of symptoms.Findings from a complete oral examination including periodontal probing depths, assessment of plaque and calculus, and gingival inflammation should be documented.Radiographic images might be included to assess for bone loss, especially in cases of suspected periodontitis.
** K05.1 is for chronic gingivitis.If the gingivitis is acute, use K05.0.Further specification of the cause of gingivitis (plaque-induced or non-plaque induced) may be done using K05.10 and K05.11 respectively.Always document the clinical findings thoroughly to support the selected code.
- Payment Status: Active
- Specialties:Dentistry, Periodontics
- Place of Service:Office, Dental Clinic