ICD-10-CM Billable Code

K05.5

Other periodontal diseases

Clinical Classification Guidelines

Inclusion Terms

  • Combined periodontic-endodontic lesion
  • Narrow gingival width (of periodontal soft tissue)

Excludes Type 2

  • leukoplakia of gingiva (K13.21)

Medical Intelligence & Overview

Other periodontal diseases, classified under ICD-10 code K05.5, encompass a range of conditions affecting the supporting structures of the teeth, including the gums, periodontal ligament, and alveolar bone. These diseases can influence dental stability and overall oral health, often requiring specialized diagnosis and treatment strategies. The category includes conditions like combined periodontic-endodontic lesions and issues related to the width of gingival tissue, which can affect how treatments are approached. Recognizing the signs and understanding the causes are important steps in managing these diseases effectively.

Causes & Symptoms

Clinical Causes: Bacterial infections originating from plaque buildup on teeth and gums Poor oral hygiene practices leading to accumulation of plaque and tartar Genetic susceptibility affecting immune response and tissue resilience Smoking and tobacco use increasing vulnerability to gum inflammation Hormonal changes, such as those during pregnancy or menopause, impacting gum tissue Certain systemic health conditions like diabetes that affect periodontal health Narrow gingival width, which may predispose tissue to trauma and disease

Key Symptoms: Bleeding gums during brushing or flossing Swollen, red, or inflamed gum tissue Persistent bad breath or foul taste in the mouth Receding gums exposing more of the tooth surface Tenderness or discomfort in the gums Loose teeth or changes in bite alignment Formation of deep periodontal pockets around the teeth Narrow gingival tissue making gum lines more susceptible to injury

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough clinical examination by a dental professional, including periodontal probing to assess pocket depths, evaluation of gum tissue condition, and radiographic imaging to check for bone loss. Special attention is given to any signs of combined lesions or issues related to gingival width. Additional diagnostic tests may include microbial analysis or assessments for systemic conditions that contribute to periodontal health.

Treatment Protocols: Treatment strategies focus on controlling bacterial infection, reducing inflammation, and restoring periodontal tissue health. Approaches may include:

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 K05.5 a billable ICD-10 code?
Yes, K05.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report K05.5?
Clinical documentation must specify the nature of Other periodontal diseases and any associated comorbidities for accurate reporting.

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