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2025 ICD-10-CM code K05.229

Aggressive periodontitis, generalized, unspecified severity.

Follow the official ICD-10-CM coding guidelines and conventions.Ensure the code accurately reflects the clinical findings, and if possible use more specific codes within the K05.22x range when more information is available.

Medical necessity for this code is established by clinical findings demonstrating aggressive periodontitis, including rapid bone loss and attachment loss. Documentation must clearly support the diagnosis of aggressive periodontitis, as opposed to other types of periodontal disease.

Diagnosis and treatment planning by a dentist or periodontist.This includes a comprehensive periodontal examination, including radiographic evaluation and periodontal probing, to determine the extent of the disease. Treatment may involve non-surgical periodontal therapy (scaling and root planing) or surgical interventions depending on the severity and progression.

IMPORTANT:Consider using more specific codes (K05.221, K05.222, K05.223) if the severity of the aggressive periodontitis can be determined (slight, moderate, severe).Other related codes might include those specifying localized aggressive periodontitis (K05.211-K05.219) or chronic periodontitis (K05.30-K05.329), depending on the clinical presentation.

In simple words: This code describes a severe form of gum disease where the gums and bone supporting the teeth are rapidly damaged, affecting many teeth.The exact level of damage isn't specified in this code.

This ICD-10-CM code classifies aggressive periodontitis affecting multiple teeth, without specifying the severity of the condition.It represents a destructive inflammatory disease of the supporting structures of the teeth, characterized by rapid bone loss and tissue destruction.The diagnosis requires clinical assessment, including periodontal probing depths, attachment loss, and radiographic imaging to confirm bone loss.

Example 1: A 25-year-old patient presents with rapid bone loss around multiple teeth, exhibiting signs of inflammation and bleeding gums.Radiographic examination confirms significant bone destruction. This would be coded as K05.229., A 30-year-old patient with a history of poor oral hygiene shows rapid progression of periodontal disease affecting multiple teeth, resulting in significant attachment loss and mobility of several teeth.This scenario aligns with K05.229., An 18-year-old patient is diagnosed with aggressive periodontitis, affecting most of their teeth. However, the clinician is unable to precisely specify the severity of the disease at this time. This situation would again be represented with K05.229.

Complete periodontal charting, including probing depths, bleeding on probing, attachment loss measurements, and radiographic evidence of bone loss.Patient history should document oral hygiene practices and any risk factors.Treatment plan outlining planned interventions should also be documented.

** This code is for aggressive periodontitis, a destructive form of periodontal disease.It should not be used for chronic periodontitis.Accurate clinical documentation is crucial for proper coding and reimbursement.

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