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ICD-10 Guide
ICD-10 CodesK05.229

K05.229

Billable

Aggressive periodontitis, generalized, unspecified severity

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

Code Description

ICD-10 K05.229 is a billable code used to indicate a diagnosis of aggressive periodontitis, generalized, unspecified severity.

Key Diagnostic Point:

Aggressive periodontitis, generalized, unspecified severity, is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction. Clinically, it presents with symptoms such as gum inflammation, deep periodontal pockets, and mobility of teeth. The disease primarily affects the supporting structures of the teeth, including the gums, periodontal ligaments, and alveolar bone. The etiology of aggressive periodontitis is multifactorial, involving genetic predisposition, bacterial infection, and environmental factors. Disease progression can vary, with some patients experiencing rapid deterioration of periodontal health, while others may have a more chronic course. Diagnosis is typically made through clinical examination, radiographic assessment, and microbiological testing to identify specific pathogens associated with the disease. Early intervention is crucial to prevent tooth loss and maintain oral health, making accurate diagnosis and coding essential for effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and may involve multiple specialties.
  • Treatment complexity: Treatment may include scaling and root planing, surgical interventions, and ongoing maintenance.
  • Documentation requirements: Detailed documentation of clinical findings, treatment plans, and patient compliance is necessary.
  • Coding specificity: Requires precise coding to differentiate from other periodontal diseases.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity or type of periodontitis.
  • Documentation gaps: Incomplete records regarding disease progression and treatment response.
  • Billing challenges: Potential denials due to lack of supporting documentation for aggressive periodontitis.

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

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 quality of life. It is prevalent in younger populations, making early diagnosis and intervention critical. The condition contributes to increased healthcare utilization due to the need for specialized dental care and potential systemic health implications. Understanding the epidemiology of aggressive periodontitis can help in developing targeted prevention and treatment strategies, ultimately improving population health outcomes.

ICD-9 vs ICD-10

Aggressive periodontitis significantly impacts oral health, leading to tooth loss and affecting overall quality of life. It is prevalent in younger populations, making early diagnosis and intervention critical. The condition contributes to increased healthcare utilization due to the need for specialized dental care and potential systemic health implications. Understanding the epidemiology of aggressive periodontitis can help in developing targeted prevention and treatment strategies, ultimately improving population health outcomes.

Reimbursement & Billing Impact

reimbursement rates for periodontal treatments to optimize billing practices.

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 K05.229?

K05.229 covers generalized aggressive periodontitis without specifying the severity. It includes cases where there is significant attachment loss and bone destruction affecting multiple teeth, but the exact severity is not documented.

When should K05.229 be used instead of related codes?

K05.229 should be used when the patient presents with generalized aggressive periodontitis and the severity is not clearly defined. If the severity can be specified, related codes like K05.221 or K05.222 should be considered.

What documentation supports K05.229?

Documentation should include clinical findings such as probing depths, attachment levels, radiographic evidence of bone loss, and treatment history. Comprehensive notes on patient education and compliance are also essential.