2025 ICD-10-CM code K05.20
(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
Aggressive periodontitis, unspecified.
Medical necessity for treatment of aggressive periodontitis is typically established through evidence of significant periodontal destruction, bone loss, and clinical signs of active disease. This may include documentation of symptoms such as pain, bleeding, and mobility of teeth. Treatment is required to prevent further bone loss, tooth loss, and potential systemic complications associated with periodontitis.
The clinical responsibility for diagnosing and managing aggressive periodontitis typically rests with a dentist or periodontist.This may involve clinical examination, radiographic imaging, and possibly referral to other specialists for associated conditions.
- Diseases of the digestive system
- K05.20 falls under the broader category of K05 - Gingivitis and periodontal diseases, which in turn is part of Chapter X - Diseases of the digestive system (K00-K95).
In simple words: This code describes a serious gum disease that causes rapid bone and tissue loss around the teeth.It's a type of gum disease that progresses quickly.
This ICD-10-CM code classifies aggressive periodontitis without further specification of localization (localized or generalized) or severity (slight, moderate, or severe).It represents a rapidly progressive form of periodontal disease characterized by significant bone and tissue loss.
Example 1: A 25-year-old patient presents with significant periodontal bone loss and inflammation, despite good oral hygiene.Radiographic imaging reveals rapid bone loss around multiple teeth.The diagnosis of aggressive periodontitis is made, and code K05.20 is used., A 16-year-old patient exhibits rapid progression of periodontal disease with significant attachment loss, which is disproportionate to the level of plaque present.A diagnosis of aggressive periodontitis is confirmed, and K05.20 is the appropriate code., A 30-year-old patient with a history of poorly controlled diabetes presents with advanced periodontal disease characterized by significant bone loss and deep pockets.A diagnosis of aggressive periodontitis is established.Code K05.20 is applied, and appropriate additional codes for diabetes mellitus are used for complete documentation.
Detailed clinical examination notes, including periodontal charting (probing depths, bleeding on probing, attachment loss), radiographic images (periapical and/or panoramic radiographs) to demonstrate bone loss, and clinical photographs documenting the extent of inflammation and tissue destruction are necessary for proper coding.
** This code should be used when aggressive periodontitis is not further specified as to location and/or severity.Always confirm the appropriate specification of location and severity if more detail is available.Refer to the latest ICD-10-CM guideline manual for further details.
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