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2025 ICD-10-CM code K06.1

Gingival enlargement; also known as gingival fibromatosis.

Proper coding requires a careful assessment of the patient's condition to differentiate K06.1 from other related diagnoses.Use of this code should adhere to the official ICD-10-CM coding guidelines.

Medical necessity for treatment of gingival enlargement is established when the enlargement interferes with proper oral hygiene, leads to discomfort, or impacts the patient's ability to chew or speak. Treatment might be necessary for aesthetic reasons in some cases. The specific treatments will depend on the severity and cause of the enlargement.

The clinical responsibility for diagnosing and managing gingival enlargement rests with a dentist or periodontist.This involves a thorough examination of the oral cavity, taking medical history, and potentially ordering diagnostic tests such as a biopsy to rule out other conditions.

IMPORTANT:This code should not be used if the patient has acute gingivitis (K05.0), chronic gingivitis (K05.1), gingivitis NOS (K05.1), or atrophy of the edentulous alveolar ridge (K08.2).Consider using K05.1 if the gingival enlargement is due to gingivitis.A thorough clinical evaluation is needed to determine the most appropriate code.

In simple words: Gingival enlargement is a condition where your gums grow too much. This can sometimes be a firmer, more fibrous type of growth called gingival fibromatosis. It's important to distinguish this from other gum problems like gingivitis (gum inflammation).

K06.1 in the ICD-10-CM coding system represents gingival enlargement, a condition characterized by an overgrowth of gum tissue.This can manifest as gingival fibromatosis, a specific type of gingival enlargement characterized by a firm, fibrous overgrowth of the gums.It is important to differentiate K06.1 from other gingival conditions such as gingivitis (acute or chronic) and atrophy of the edentulous alveolar ridge.

Example 1: A 30-year-old patient presents with noticeably enlarged gums that bleed easily. The dentist diagnoses gingival enlargement (K06.1) after a comprehensive oral examination. The patient receives professional cleaning and is advised on improved oral hygiene practices., A 5-year-old child exhibits gingival fibromatosis (a type of K06.1) characterized by firm, fibrous gum overgrowth.A referral to a specialist may be needed for further evaluation and management of this condition which can be related to various genetic syndromes., A patient with a history of poorly controlled diabetes presents with gingival enlargement. The dentist must carefully consider the underlying condition and its influence on the gingival overgrowth. This condition requires close monitoring and potentially further investigation to rule out other related oral health problems.

Detailed clinical notes describing the extent and characteristics of the gingival enlargement are needed.Photographs or radiographs of the affected area might also be helpful, along with any relevant lab test results that might help provide a proper diagnosis.

** Further investigation may be warranted to determine the underlying cause of the gingival enlargement.This may involve genetic testing, especially if gingival fibromatosis is suspected.Treatment options may range from simple oral hygiene improvements to surgical intervention depending on the extent and nature of the enlargement.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.