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2025 ICD-10-CM code K05.223

Aggressive periodontitis, generalized, severe.

Coding should reflect the severity and extent of the periodontitis.Always code the most specific code possible. The generalized and severe indicators should be carefully considered based on clinical findings.

Modifiers may be applied based on the services rendered and the specific circumstances of the treatment.Consult current CPT and HCPCS guidelines for appropriate modifier usage.

Medical necessity is established by the presence of significant periodontal destruction (bone loss and deep pockets) impacting the patient's oral health and potentially systemic health.Treatment is needed to prevent further tooth loss, infection and potential complications.

Diagnosis and treatment of aggressive periodontitis by a dentist or periodontist. This involves a comprehensive periodontal examination, including radiographs, to assess the extent of the disease. Treatment may involve scaling and root planing, periodontal surgery, and in severe cases, extractions.

IMPORTANT:Related codes include other specifications of aggressive periodontitis (K05.20, K05.21, K05.221, K05.222) and chronic periodontitis (K05.3 and its sub-codes).

In simple words: This code describes a serious type of gum disease where a lot of bone and tissue around the teeth are lost quickly and the problem affects most or all of the teeth.

This ICD-10-CM code signifies aggressive periodontitis that is generalized and severe.Aggressive periodontitis is a rapidly progressing form of periodontal disease characterized by significant bone and tissue loss around the teeth.The "generalized" specification indicates that the disease affects most or all of the teeth, while "severe" denotes a high level of destruction.

Example 1: A 25-year-old patient presents with significant gingival inflammation, bleeding gums, and deep periodontal pockets around most of their teeth. Radiographic examination reveals extensive bone loss. The diagnosis is aggressive periodontitis, generalized, severe (K05.223)., A 30-year-old patient with a history of aggressive periodontitis undergoes periodontal surgery to address deep pockets and significant bone loss affecting almost all teeth.The post-operative diagnosis remains K05.223., A 40-year-old patient presents with advanced periodontal disease showing severe bone loss in most of their teeth. Despite prior treatment, aggressive periodontitis, generalized, severe (K05.223) persists.

Complete periodontal examination documentation including:

** This code is used for billing purposes for aggressive periodontitis. The diagnosis requires thorough clinical evaluation and radiographic assessment to determine severity and extent of the disease.Accurate documentation is crucial for appropriate reimbursement.

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