ICD-10-CM Billable Code

K06.01

Gingival recession, localized

Clinical Classification Guidelines

Medical Intelligence & Overview

Localized gingival recession refers to the specific loss of gum tissue in a particular area around the teeth. This condition results in the exposure of the tooth roots, which can lead to increased sensitivity and other dental issues. Understanding this condition helps in recognizing its symptoms, causes, and treatment options to maintain optimal oral health.

Causes & Symptoms

Clinical Causes: Aggressive tooth brushing or improper brushing technique Periodontal (gum) disease, such as periodontitis Trauma or injury to the gums from dental procedures or accidents Clenching or grinding teeth (bruxism) Orthodontic treatment causing gum displacement Dental restorations that irritate the gum tissue Genetic predisposition to thin or weak gum tissue

Key Symptoms: Receding gum line noticed around one or more teeth Tooth roots becoming exposed, which can be felt with the tongue Sensitivity to hot, cold, or sweet foods and beverages Appearance of a “longer” tooth than usual Gum irritation or inflammation in the affected area Occasional bleeding during brushing or flossing

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough dental examination where the dentist evaluates the gum tissue and measures the depth of the gum pockets. Dental X-rays are often taken to assess the extent of bone loss and the proximity of the gum recession to the root surfaces. The dentist will examine the tooth alignment, hygiene practices, and overall oral health status to determine the underlying cause and extent of the recession.

Treatment Protocols: Treatment strategies for localized gingival recession aim to slow or stop the progression, restore the gum tissue, and improve aesthetic appearance. Options include: - **Scaling and root planing:** Deep cleaning procedures to remove plaque and tartar build-up from below the gum line. - **Gum graft surgery:** A procedure where tissue is taken from another part of the mouth or a donor source to cover the exposed root. - **Desensitizing agents:** Applied to reduce tooth sensitivity associated with root exposure. - **Correction of contributing habits:** Such as changing brushing technique or managing teeth grinding. - **Addressing orthodontic issues:** If misaligned teeth or orthodontic movements contribute to recession. Maintaining good oral hygiene practices and regular dental check-ups are essential to prevent further recession and preserve gum health.

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 K06.01 a billable ICD-10 code?
Yes, K06.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K06.01?
Clinical documentation must specify the nature of Gingival recession, localized and any associated comorbidities for accurate reporting.

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