2025 ICD-10-CM code K06.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the oral cavity and salivary glands - Other disorders of gingiva and edentulous alveolar ridge Diseases of the digestive system Feed
Gingival and edentulous alveolar ridge lesions associated with trauma.
Not applicable to ICD-10 codes. Modifiers apply to CPT and HCPCS codes.
Medical necessity is established by the presence of a clinically significant lesion requiring evaluation, treatment, or management.This may involve interventions such as denture adjustments, medication, or surgical procedures.
Diagnosis and management of oral lesions, including assessment of trauma, denture fit, and potential underlying conditions.May involve referral to specialists like an oral surgeon or prosthodontist.
In simple words: This code describes sores or growths on the gums or jawbone (where teeth used to be) caused by injury. This often happens because of dentures that don't fit well.
This ICD-10-CM code classifies gingival and edentulous alveolar ridge lesions specifically caused by trauma.It includes conditions such as irritative hyperplasia of the edentulous ridge, often associated with ill-fitting dentures.Additional codes from Chapter XX may be used to specify the external cause or denture status (e.g., Z97.2 for use of a denture).
Example 1: A patient presents with a swollen, inflamed area on their gum ridge where they have lost teeth.This is diagnosed as irritative hyperplasia due to ill-fitting dentures.Code K06.2 is assigned., A patient sustains trauma to their gums during a fall. The resulting lesion is documented, and code K06.2 is applied, along with an additional code to specify the injury (Chapter XX)., A patient reports chronic discomfort and irritation on their edentulous alveolar ridge associated with a new set of dentures. Upon examination,irritative hyperplasia is observed, leading to the assignment of K06.2 and Z97.2 (use of denture).
Detailed clinical notes describing the lesion's location, size, appearance, and etiology (including trauma).Documentation should clarify the relationship between the lesion and denture use if applicable.Supporting imagery (e.g., photographs) may be beneficial.
** This code should be used cautiously and only when a clear causal link between trauma and the lesion exists.When possible, specify the type of trauma using additional codes from Chapter XX.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and payer.
- RVU: RVUs are not applicable to ICD-10 codes. RVUs are associated with CPT and HCPCS codes for procedures and services.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Dentistry, Oral and Maxillofacial Surgery
- Place of Service:Office, Dental Office