ICD-10-CM Billable Code

K05.00

Acute gingivitis, plaque induced

Clinical Classification Guidelines

Inclusion Terms

  • Acute gingivitis NOS
  • Plaque induced gingival disease

Medical Intelligence & Overview

Acute plaque-induced gingivitis is a common form of gum inflammation that results from the accumulation of plaque—a sticky film of bacteria—along the gumline. This condition causes gum redness, swelling, and bleeding, especially during brushing or flossing. If left untreated, it can lead to more serious periodontal problems. Recognized under ICD-10 as K05.00, this condition is generally reversible with proper dental care and good oral hygiene practices.

Causes & Symptoms

Clinical Causes: Poor oral hygiene leading to plaque buildup Inadequate brushing and flossing routines Diet high in sugary or starchy foods Tobacco use and smoking Certain medications that reduce saliva flow Hormonal changes, such as during pregnancy or menstruation Ill-fitting dental restorations or appliances Poor nutrition affecting gum health

Key Symptoms: Red, swollen gums Bleeding gums during brushing or flossing Gum tenderness or soreness Persistent bad breath Receding gums in some cases Gums that feel tender or painful to touch

Diagnostic & Treatment

Diagnosis Path: Dental professionals diagnose acute gingivitis through a comprehensive oral examination, assessing gum redness, swelling, and bleeding. They may also review oral hygiene habits and take dental X-rays if necessary. The diagnosis is confirmed by identifying signs of inflammation limited to the gums without loss of the supporting bone structure. Regular check-ups are vital for early detection and management.

Treatment Protocols: Treatment for plaque-induced gingivitis focuses on removing the source of inflammation—the dental plaque. This includes professional dental cleaning procedures like scaling and root planing. Patients are advised to adopt or improve their oral hygiene practices, such as brushing twice daily with fluoride toothpaste, flossing daily, and possibly using antiseptic mouth rinses. Dietary adjustments and quitting tobacco use can also aid healing. In some cases, addressing contributing factors like ill-fitting restorations is necessary. Follow-up visits help ensure the condition has resolved and prevent recurrence.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is K05.00 a billable ICD-10 code?
Yes, K05.00 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K05.00?
Clinical documentation must specify the nature of Acute gingivitis, plaque induced and any associated comorbidities for accurate reporting.

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