2025 ICD-10-CM code K05.10
(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 caused by plaque buildup.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult payer specific guidelines for clarification.
Medical necessity for treatment of K05.10 is established by the presence of significant gingival inflammation and plaque buildup, posing a risk of progression to periodontitis and other dental complications.In cases involving systemic conditions like diabetes, the treatment's medical necessity is often strengthened by its role in preventing or managing related complications.
Dentist or physician specializing in periodontics or oral medicine.
In simple words: This code describes a common gum disease caused by plaque (bacteria and food debris) building up on your teeth.It makes your gums red, swollen, and likely to bleed when you brush or floss.
K05.10, Chronic gingivitis, plaque induced, is an ICD-10-CM code representing chronic inflammation of the gums primarily due to plaque accumulation.This condition is characterized by redness, swelling, and bleeding of the gums.It's a common dental condition that, if left untreated, can progress to periodontitis.
Example 1: A 45-year-old patient presents with red, swollen gums that bleed easily during brushing.A dental examination reveals significant plaque buildup and a diagnosis of chronic gingivitis, plaque induced (K05.10)., A 60-year-old diabetic patient with poorly controlled blood sugar levels exhibits chronic gingivitis and periodontal disease.The physician documents both K05.10 and a code for type 2 diabetes mellitus with periodontal disease (E11.630)., A pregnant woman develops chronic gingivitis during her second trimester.Both K05.10 and a code for diseases of the digestive system complicating pregnancy (O99.61-) are reported.
Complete dental examination including periodontal charting, documentation of plaque presence, gingival inflammation (redness, swelling, bleeding), and any other associated symptoms.For patients with diabetes or pregnancy, relevant medical history should also be documented.
** This code should be used for chronic gingivitis specifically attributed to plaque.Other forms of gingivitis would require a different code.
- Payment Status: Active
- Specialties:Dentistry, Periodontics
- Place of Service:Office, Dental clinic