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ICD-10 Guide
ICD-10 CodesK05.2

K05.2

Non-billable

Aggressive periodontitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K05.2 is a used to indicate a diagnosis of aggressive periodontitis.

Key Diagnostic Point:

Aggressive periodontitis is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction, often occurring in adolescents and young adults. Clinically, it presents with localized or generalized inflammation of the gingiva, deep periodontal pockets, and mobility of teeth. The disease primarily affects the supporting structures of the teeth, including the alveolar bone and periodontal ligament, leading to significant oral health issues. The progression of aggressive periodontitis can be rapid, with patients often experiencing severe periodontal destruction within a short time frame. Diagnostic considerations include clinical examination, radiographic evaluation to assess bone loss, and microbiological testing to identify specific pathogens associated with the disease. Early diagnosis and intervention are crucial to prevent tooth loss and manage the condition effectively. Treatment typically involves scaling and root planing, possible surgical intervention, and ongoing maintenance therapy to control the disease and improve oral health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and understanding of periodontal disease progression.
  • Treatment complexity: Involves multi-disciplinary approaches including periodontics and possibly surgery.
  • Documentation requirements: Detailed documentation of clinical findings, treatment plans, and patient compliance is essential.
  • Coding specificity: Requires accurate coding to differentiate from other forms of periodontal disease.

Audit Risk Factors

  • Common coding errors: Misclassification with chronic periodontitis or other dental codes.
  • Documentation gaps: Incomplete records of clinical findings or treatment plans.
  • Billing challenges: Potential denials due to lack of clear justification for aggressive treatment approaches.

Specialty Focus

Medical Specialties

Primary medical specialty: Dentistry/Periodontics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: General Practice/Family Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Aggressive periodontitis significantly impacts oral health, leading to tooth loss and affecting overall health. It is prevalent among younger populations, which can lead to increased healthcare utilization and costs. Understanding the epidemiology of this condition is crucial for developing effective prevention strategies and improving quality measures in dental care.

ICD-9 vs ICD-10

Aggressive periodontitis significantly impacts oral health, leading to tooth loss and affecting overall health. It is prevalent among younger populations, which can lead to increased healthcare utilization and costs. Understanding the epidemiology of this condition is crucial for developing effective prevention strategies and improving quality measures in dental care.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of detailed clinical notes that justify the aggressive treatment approach. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for advanced procedures. Best practices include ensuring that all treatment plans are well-documented and that any referrals to specialists are clearly noted in the patient's record.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K05.2?

K05.2 specifically covers aggressive periodontitis, which includes localized and generalized forms characterized by rapid attachment loss and bone destruction. It is differentiated from chronic periodontitis by its onset at a younger age and more severe clinical presentation.

When should K05.2 be used instead of related codes?

K05.2 should be used when the clinical presentation indicates aggressive periodontitis, particularly when there is rapid progression of periodontal tissue destruction, as opposed to chronic periodontitis which progresses more slowly.

What documentation supports K05.2?

Documentation should include clinical findings such as probing depths, attachment levels, radiographic evidence of bone loss, and treatment plans. Detailed notes on patient history and risk factors are also essential.