ICD-10-CM Billable Code

K05.211

Aggressive periodontitis, localized, slight

Clinical Classification Guidelines

Medical Intelligence & Overview

Aggressive localized periodontitis, slight (ICD-10 code: K05.211), is a form of gum disease characterized by rapid destruction of the supporting structures of the teeth, affecting a localized area with mild severity. Unlike chronic periodontitis, which develops slowly over time, aggressive periodontitis progresses quickly and can lead to significant dental issues if not managed appropriately. It primarily impacts young adults and often involves the first molars and incisors on either the upper or lower jaw. Recognizing the signs and understanding its underlying causes can help in early detection and treatment, preserving oral health and preventing tooth loss.

Causes & Symptoms

Clinical Causes: Bacterial infection: Certain bacteria, particularly Aggregatibacter actinomycetemcomitans, are linked to aggressive periodontitis. Genetic predisposition: A family history of periodontal disease can increase risk. Immune system abnormalities: A weakened immune response may fail to control bacterial proliferation. Environmental factors: Smoking and poor oral hygiene can exacerbate the condition. Other systemic conditions: Diseases such as leukemia or immune deficiencies may also contribute. Regular plaque buildup: Accumulation of plaque containing harmful bacteria triggers inflammation.

Key Symptoms: Rapid gum recession around affected teeth. Presence of deep periodontal pockets, often deeper than in milder forms. Localized swelling, redness, or bleeding gums, especially during brushing or flossing. Loose teeth or teeth that shift position. Painless but noticeable changes in the appearance of the gums. Persistent bad breath or unpleasant taste in the mouth.

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive dental examination, including probing pocket depths to assess severity, radiographs to detect bone loss, and microbial analysis to identify specific bacteria. The dentist may also review medical and family history to evaluate risk factors. Early detection relies on clinical signs such as pocket depths and bone loss seen on X-ray images, along with the patient's reported symptoms.

Treatment Protocols: Professional dental cleaning (scaling and root planing) to remove plaque and tartar. Antibiotic therapy to target specific bacterial pathogens. Enhanced oral hygiene practices, including proper brushing and flossing routines. Regular periodontal maintenance visits for monitoring and cleaning. Surgical interventions if necessary to access and clean deep pockets or regenerate lost tissue.

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 K05.211 a billable ICD-10 code?
Yes, K05.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K05.211?
Clinical documentation must specify the nature of Aggressive periodontitis, localized, slight and any associated comorbidities for accurate reporting.

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