2025 ICD-10-CM code K06
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of oral cavity and salivary glands - Other disorders of gingiva and edentulous alveolar ridge Diseases of the digestive system Feed
Other disorders of the gingiva and edentulous alveolar ridge.
Medical necessity is established based on the clinical presentation and documented impact of gingival or alveolar ridge disorders on the patient's oral health and quality of life.Conditions such as significant gingival recession leading to root exposure, sensitivity, or aesthetic concerns might warrant intervention.For edentulous alveolar ridge disorders, discomfort, infection, or potential implications for prosthetic rehabilitation justify medical necessity.Specific evidence for each case needs to be presented based on clinical findings.
Diagnosis and management of gingival and alveolar ridge disorders by dentists or oral surgeons. This may involve assessment, treatment planning, and execution of therapeutic interventions such as surgical procedures or non-surgical management.
In simple words: This code is for problems with your gums or the jawbone after teeth are lost.It covers issues not described by other, more specific codes.
This ICD-10-CM code encompasses various disorders affecting the gums (gingiva) and the jawbone after tooth loss (edentulous alveolar ridge).It includes conditions not specifically categorized elsewhere within the K00-K14 disease classification.This is a broad category requiring further specification to pinpoint the exact condition.
Example 1: A patient presents with generalized gingival recession, exhibiting significant gum tissue loss around multiple teeth.This would necessitate a detailed periodontal examination, radiographic imaging (e.g., periapical radiographs), and potentially surgical intervention for gum grafting., A patient with an edentulous alveolar ridge experiences discomfort and inflammation in the area of previous tooth extractions. A thorough clinical examination may reveal a localized area of bone resorption and/or infection. Management might involve local anesthetic treatment to alleviate pain, along with antibiotics to combat the infection., A patient with localized gingival recession affecting a single tooth presents for a consultation for cosmetic and functional improvement. This could warrant a treatment plan involving periodontal regeneration techniques or a surgical soft tissue graft to restore the lost gingival tissue and improve the esthetics.
Complete periodontal charting, including gingival recession measurements, probing depths, bleeding on probing, and presence of inflammation. Radiographic imaging (periapical and/or panoramic radiographs) to assess bone levels and alveolar ridge morphology. Detailed medical history, including relevant systemic conditions that may influence periodontal health. Photographs of the affected areas. Detailed notes on treatment plan, procedures performed, and post-operative care instructions.Clinical notes must explicitly state that the condition is "other unspecified" after reviewing the differential diagnosis.
** This code is a residual category for disorders of the gingiva and edentulous alveolar ridge not otherwise specified.Clinicians should exercise caution and ensure appropriate documentation to justify the use of K06 when more specific codes are not applicable.
- Payment Status: Active
- Specialties:Dentistry, Periodontics, Oral and Maxillofacial Surgery
- Place of Service:Office, Dental clinic