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ICD-10 Guide
ICD-10 CodesK05.222

K05.222

Billable

Aggressive periodontitis, generalized, moderate

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

Code Description

ICD-10 K05.222 is a billable code used to indicate a diagnosis of aggressive periodontitis, generalized, moderate.

Key Diagnostic Point:

Aggressive periodontitis, generalized, moderate, is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction, primarily affecting adolescents and young adults. Clinically, it presents with symptoms such as gum inflammation, deep periodontal pockets, and mobility of teeth. The disease typically involves the loss of periodontal attachment and alveolar bone, which can lead to tooth loss if untreated. The etiology is multifactorial, including genetic predisposition, environmental factors, and microbial infections. The disease progression can vary, but it often leads to significant oral health complications if not managed effectively. Diagnostic considerations include clinical examinations, radiographic assessments, and microbiological testing to identify specific pathogens associated with the disease. Treatment typically involves scaling and root planing, antimicrobial therapy, and possibly surgical interventions to restore periodontal health. Regular follow-ups are essential to monitor disease progression and treatment efficacy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive clinical evaluation and diagnostic imaging.
  • Treatment complexity: Involves multidisciplinary approaches including surgical and non-surgical interventions.
  • Documentation requirements: Detailed documentation of clinical findings and treatment plans is necessary.
  • Coding specificity: Requires accurate coding to differentiate from other periodontal diseases.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of periodontitis.
  • Documentation gaps: Incomplete records of clinical findings and treatment plans.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

Specialty Focus

Medical Specialties

Dentistry

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

Periodontology

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 has significant clinical implications, affecting not only oral health but also overall health outcomes. The disease can lead to tooth loss and has been associated with systemic conditions such as cardiovascular disease and diabetes. Understanding the epidemiology of aggressive periodontitis is crucial for public health initiatives aimed at improving oral health and reducing healthcare costs associated with periodontal disease management.

ICD-9 vs ICD-10

Aggressive periodontitis has significant clinical implications, affecting not only oral health but also overall health outcomes. The disease can lead to tooth loss and has been associated with systemic conditions such as cardiovascular disease and diabetes. Understanding the epidemiology of aggressive periodontitis is crucial for public health initiatives aimed at improving oral health and reducing healthcare costs associated with periodontal disease management.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed records that justify the medical necessity of procedures performed. Common denials may arise from insufficient documentation or failure to demonstrate the severity of the condition. Best practices include ensuring that all clinical findings are well-documented and that treatment plans align with the diagnosis to minimize audit risks.

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 K05.222?

K05.222 specifically covers generalized aggressive periodontitis, which is characterized by rapid attachment loss and bone destruction affecting multiple teeth. It is distinguished from localized forms of periodontitis and requires specific diagnostic criteria for accurate coding.

When should K05.222 be used instead of related codes?

K05.222 should be used when the clinical presentation indicates generalized aggressive periodontitis, as opposed to localized forms or other types of periodontal diseases. Accurate diagnosis and documentation are crucial for appropriate code selection.

What documentation supports K05.222?

Documentation supporting K05.222 should include clinical examination findings, radiographic evidence of bone loss, treatment plans, and any microbiological testing results that confirm the diagnosis of generalized aggressive periodontitis.