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2025 ICD-10-CM code K05.323

Chronic periodontitis, generalized, severe.

Accurate coding requires careful assessment of periodontal disease severity and documentation of findings.Follow established guidelines for periodontal charting and radiographic interpretation.

Modifiers may apply depending on the specific treatment procedures performed (e.g., surgical vs. non-surgical). Consult appropriate modifier guidelines.

Medical necessity for treatment of K05.323 is established by the presence of significant gingival inflammation, bleeding on probing, deep periodontal pockets, attachment loss, and radiographic evidence of bone loss.The severity warrants intervention to prevent tooth loss and systemic complications.

Diagnosis and treatment of chronic periodontitis by a dentist or periodontist. This includes assessment of disease severity, periodontal probing, radiographic imaging, and development of a treatment plan (scaling, root planing, surgical procedures if needed).

IMPORTANT:Related codes include K05.321 (Chronic periodontitis, generalized, slight), K05.322 (Chronic periodontitis, generalized, moderate), and K05.329 (Chronic periodontitis, generalized, unspecified severity).Consider also codes for associated conditions like tobacco use (Z72.0) or alcohol abuse (F10.-).

In simple words: This code describes a serious type of gum disease affecting many teeth.It involves significant gum inflammation and bone loss, requiring substantial dental treatment.

This code signifies chronic periodontitis affecting multiple teeth, characterized by severe inflammation and bone loss.It's a significant form of gum disease requiring extensive treatment.

Example 1: A 55-year-old patient presents with significant gingival inflammation, bleeding upon probing, and radiographic evidence of extensive bone loss around multiple teeth.The dentist diagnoses chronic periodontitis, generalized, severe (K05.323)., A 40-year-old smoker with a history of poor oral hygiene shows signs of advanced periodontitis involving most of their teeth.Periodontal probing reveals deep pockets and significant attachment loss, leading to the diagnosis of K05.323., A 60-year-old patient with diabetes and poorly controlled blood sugar levels exhibits signs of severe generalized periodontitis.The dentist documents the diagnosis as K05.323 and discusses the importance of glycemic control to improve periodontal outcomes.

Complete periodontal charting, including probing depths, bleeding on probing, and attachment levels. Radiographic imaging (periapical or panoramic radiographs) to assess bone loss.Clinical photographs documenting the extent of gingival inflammation and recession. Treatment plan outlining the proposed therapeutic measures.

** This code is specific to severe generalized chronic periodontitis.Ensure careful assessment of the extent of disease to differentiate it from localized or less severe forms.

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