ICD-10-CM Billable Code

K06.023

Generalized gingival recession, severe

Clinical Classification Guidelines

Medical Intelligence & Overview

Severe generalized gingival recession is a dental condition characterized by the significant recession or pulling back of the gums around multiple teeth across the mouth. This condition exposes the roots of the teeth, which can lead to various dental issues if left untreated. Recognized under ICD-10 code K06.023, this condition requires awareness of its causes, symptoms, and possible treatment options to maintain oral health.

Causes & Symptoms

Clinical Causes: Periodontal disease (gum infection leading to tissue destruction) Aggressive tooth brushing or flossing habits Poor oral hygiene practices Genetic predisposition to gum disease Tobacco use, including smoking and smokeless tobacco Hormonal changes affecting gum tissues (e.g., pregnancy, menopause) Ill-fitting dental restorations or appliances Clenching or grinding of teeth (bruxism) Trauma or injury to the gums Certain systemic health conditions, such as diabetes

Key Symptoms: Receding gum line, exposing more of the tooth surface Sensitivity to hot, cold, sweet, or acidic foods Visible roots of teeth due to gum loss Gums that appear red, swollen, or bleed easily Noticeable space between teeth and gums Persistent bad breath Loose teeth or shifting of teeth over time Discomfort or pain in the gum area Change in the way teeth fit together

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive dental examination where the dentist will assess gum recession levels, measure pocket depths around teeth, and examine for signs of periodontal disease. Sometimes, X-rays are utilized to evaluate bone loss and the extent of tissue destruction. The clinician may also review medical history and assess oral hygiene habits to understand contributing factors.

Treatment Protocols: Treatment strategies are tailored to the severity of gum recession and underlying causes. Common approaches include: - **Improving oral hygiene practices** through education and professional cleanings - **Scaling and root planing** (deep cleaning) to remove plaque and tartar below the gumline - **Gum grafting procedures** to cover exposed roots and restore gum tissue - **Correcting ill-fitting restorations** or dental appliances - **Addressing systemic health conditions** that impact gum health - **Lifestyle modifications** such as quitting tobacco and managing stress - **Use of desensitizing agents or fluoride treatments** to reduce tooth sensitivity - **Maintenance therapy** with regular dental visits to monitor and prevent further recession In severe cases, surgical intervention might be necessary to regenerate lost tissue or stabilize the gum line. Early intervention can help prevent further damage and preserve tooth stability.

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 K06.023 a billable ICD-10 code?
Yes, K06.023 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K06.023?
Clinical documentation must specify the nature of Generalized gingival recession, severe and any associated comorbidities for accurate reporting.

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