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2025 ICD-10-CM code K06.9

Unspecified disorder of the gums and toothless jawbone.

Use this code only when a more specific diagnosis from the K06 category cannot be made.Accurate documentation is crucial to support the selection of this unspecified code.

The medical necessity for coding K06.9 is established through thorough clinical examination demonstrating a disorder of the gingiva or edentulous alveolar ridge.This necessitates further investigation to determine the underlying cause or etiology.

Diagnosis and management of gum and jawbone disorders by a dentist or periodontist. This may include examinations, tests, and treatment planning depending on the specific condition.

IMPORTANT:Consider K06.0 (Gingival recession), K06.1 (Gingival enlargement), K06.2 (Lesions associated with trauma), or K06.8 (Other specified disorders) if a more precise diagnosis is available.The appropriate code should reflect the specific clinical findings.

In simple words: This code means there's a problem with your gums or the part of your jawbone where your teeth used to be, but the doctor doesn't know exactly what the problem is.

K06.9 in the ICD-10-CM classification system denotes an unspecified disorder of the gingiva (gums) and the edentulous alveolar ridge (the toothless portion of the jawbone).This code is used when a more specific diagnosis cannot be established.It encompasses various conditions affecting the gums and jawbone, excluding those explicitly listed under other K06 codes (e.g., gingival recession, enlargement, or trauma-related lesions).

Example 1: A patient presents with generalized gum inflammation and bleeding, but no specific infectious agent is identified.K06.9 is used pending further investigations., A patient with poorly fitting dentures exhibits persistent discomfort and inflammation of the underlying alveolar ridge.After ruling out infection or other specific causes, K06.9 is used to reflect the unspecified disorder., A patient complains of gum recession and bone loss, but further diagnostics are inconclusive.K06.9 serves as a placeholder until a precise diagnosis is reached.

Comprehensive dental examination records including charting of gingival health, radiographic imaging (if indicated), and detailed descriptions of patient symptoms. Documentation should justify the selection of K06.9 over other more specific codes.

** This code is for unspecified disorders;always strive for specificity in diagnosis and coding whenever possible.If the condition is related to a systemic disease, consider additional codes as appropriate.

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