ICD-10 Codes for Periodontitis

Summary - Gum disease or periodontitis damages the soft tissue and destroys the bone that supports the teeth.

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Poor oral hygiene can lead to serious gum disorders and cavities. Periodontitis or gum disease damages the soft tissue and destroys the bone that supports the teeth.

Periodontal disease occurs due to poor brushing and flossing habits that causes plaque (a sticky film of bacteria) to build up around the tooth. The condition can cause teeth to loosen or lead to tooth loss. This common dental condition is largely preventable.

Practicing good dental habits like brushing twice a day, flossing daily and getting regular dental checkups can help prevent the condition in the long run. Billing and coding for periodontitis can be challenging. When it comes to reporting symptoms and diagnosis of this dental condition, dentists can rely on an experienced dental billing company.

Signs and Symptoms Periodontitis starts as inflammation and may progress slowly without producing any specific symptoms, even in the later stages of the disease. If left untreated, the inflammation can spread down below the gums and along the roots of the teeth, causing possible destruction of the periodontal ligament and the supporting alveolar bones.

Common symptoms of the condition include - swollen gums, pus between the teeth and gums, bad breath, bleeding gums, painful chewing and a metallic taste in the mouth.

ICD-10 Codes for Periodontitis Diagnosing periodontitis starts with a routine dental examination to look for plaque and tartar buildup and check for easy bleeding.A dentist may use a rule (called a probe) to measure the pocket depth of the groove between the gums and teeth. Dental X-rays may also be taken to check for bone loss in areas where your dentist observes deeper pocket depths.Treatment of the condition will depend on the severity of the disease and other factors. Treatment modalities include a combination of surgical and non-surgical treatments like antibiotics, scaling, root planing, soft tissue grafts, flap surgery and bone grafting. If left untreated, the inflammation can spread down below the gums and along the roots of the teeth, causing possible destruction of the periodontal ligament and the supporting alveolar bones.

ICD-10 codes for diagnosing periodontal disease include – • • •

K05.2 Aggressive periodontitis K05.20 Aggressive periodontitis, unspecified K05.21 Aggressive periodontitis, localized

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K05.211 …… slight K05.212 …… moderate K05.213 …… severe K05.219 …… unspecified severity • K05.22 Aggressive periodontitis, generalized ✓ K05.221 …… slight ✓ K05.222 …… moderate ✓ K05.223 …… severe ✓ K05.229 …… unspecified severity • K05.3 Chronic periodontitis • K05.30 Chronic periodontitis, unspecified • K05.31 Chronic periodontitis, localized ✓ K05.311 …… slight ✓ K05.312 …… moderate ✓ K05.313 …… severe ✓ K05.319 …… unspecified severity • K05.32 Chronic periodontitis, generalized ✓ K05.321 …… slight ✓ K05.322 …… moderate ✓ K05.323 …… severe ✓ K05.329 …… unspecified severity • K05.4 Periodontosis • K05.5 Other periodontal diseases • K05.6 Periodontal disease, unspecified Good oral hygiene can help keep the teeth and gums healthy and prevent infection in the long run. Measures to prevent gum disease include brushing teeth twice daily with fluoride toothpaste, maintaining a healthy, balanced diet and getting dental cleanings as recommended Billing and coding for dental disorders can be complex. For accurate and timely billing and claims submission, dental practices can outsource these tasks to a reliable dental billing service that provides the experienced AAPC-certified coders and billing personnel.

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