ICD-10-CM Billable Code

K05.312

Chronic periodontitis, localized, moderate

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic localized moderate periodontitis is a common gum disease characterized by inflammation and deterioration of the tissues surrounding specific teeth. It mainly affects small areas of the mouth, leading to damage of the supporting bone and periodontal ligament. If left untreated, it can result in tooth mobility and eventual loss. Recognizing the signs and understanding the condition are important steps toward maintaining oral health.

Causes & Symptoms

Clinical Causes: Poor oral hygiene, leading to plaque buildup Bacterial infection within the periodontal pockets Smoking and tobacco use Genetic predisposition Hormonal changes affecting gum tissues Underlying health conditions such as diabetes Infrequent dental visits

Key Symptoms: Red, swollen gums around affected teeth Bleeding gums during brushing or flossing Persistent bad breath or bad taste in the mouth Receding gums, exposing more of the tooth Pain or sensitivity when eating hot, cold, or sweet foods Loose or shifting teeth Formation of deep periodontal pockets

Diagnostic & Treatment

Diagnosis Path: A dental professional assesses chronic localized moderate periodontitis through a comprehensive dental examination, including measuring pocket depths around teeth using a periodontal probe. X-rays are often taken to evaluate bone loss. The condition is diagnosed based on clinical findings, including gum inflammation, pocket depth, and radiographic evidence of bone resorption localized to specific teeth.

Treatment Protocols: Treatment typically involves a combination of professional dental procedures and improved oral hygiene practices. Common approaches include: - **Scaling and Root Planing:** Deep cleaning procedures to remove plaque and tartar buildup beneath the gumline. - **Improved Oral Hygiene:** Regular brushing, flossing, and possibly antibacterial mouth rinses. - **Monitoring:** Regular dental check-ups to assess progression or improvement. - **Addressing Contributing Factors:** Managing habits like smoking and controlling underlying health issues. - **Surgical Interventions:** In some cases, resective or regenerative periodontal surgery may be necessary to restore damaged tissues. Proactive management can help halt disease progression and preserve natural teeth.

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 K05.312 a billable ICD-10 code?
Yes, K05.312 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K05.312?
Clinical documentation must specify the nature of Chronic periodontitis, localized, moderate and any associated comorbidities for accurate reporting.

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