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ICD-10 Guide
ICD-10 CodesK05.32

K05.32

Non-billable

Chronic periodontitis, generalized

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

Code Description

ICD-10 K05.32 is a used to indicate a diagnosis of chronic periodontitis, generalized.

Key Diagnostic Point:

Chronic periodontitis, generalized, is a common inflammatory condition affecting the supporting structures of the teeth, primarily the gums and bone. Clinically, it presents with symptoms such as gum inflammation, bleeding during brushing, and potential tooth mobility. The disease is characterized by the progressive loss of periodontal attachment and alveolar bone, leading to pockets forming between the teeth and gums. The anatomy involved includes the gingiva, periodontal ligament, cementum, and alveolar bone. Disease progression can vary, but it typically involves periods of exacerbation and remission, often influenced by factors such as oral hygiene, systemic health conditions (like diabetes), and smoking. Diagnostic considerations include clinical examination, probing depths, radiographic assessment of bone loss, and patient history. Accurate diagnosis is crucial for effective management and to prevent further complications such as tooth loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and understanding of periodontal disease stages.
  • Treatment complexity: Involves non-surgical and surgical interventions, as well as patient compliance.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and patient education are essential.
  • Coding specificity: Requires precise coding to differentiate between types and stages of periodontal disease.

Audit Risk Factors

  • Common coding errors: Misclassification of localized vs. generalized periodontitis.
  • Documentation gaps: Incomplete records of clinical findings or 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic periodontitis has significant clinical implications, affecting not only oral health but also systemic health, as it is linked to conditions such as cardiovascular disease and diabetes. The population health impact is considerable, with a high prevalence in adults, leading to increased healthcare utilization for dental and related medical services. Quality measures focus on early diagnosis and effective management to prevent tooth loss and improve overall health outcomes.

ICD-9 vs ICD-10

Chronic periodontitis has significant clinical implications, affecting not only oral health but also systemic health, as it is linked to conditions such as cardiovascular disease and diabetes. The population health impact is considerable, with a high prevalence in adults, leading to increased healthcare utilization for dental and related medical services. Quality measures focus on early diagnosis and effective management to prevent tooth loss and improve overall health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for thorough clinical notes that justify the diagnosis and treatment rendered. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining clear records of clinical findings, treatment plans, and patient compliance with oral hygiene instructions to support claims.

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 K05.32?

K05.32 covers generalized chronic periodontitis, which includes inflammation and loss of attachment affecting multiple teeth. It is characterized by clinical attachment loss and bone loss, with symptoms such as gum bleeding and tooth mobility.

When should K05.32 be used instead of related codes?

K05.32 should be used when the periodontitis is generalized, affecting multiple sites in the mouth. If the condition is localized to a specific area, K05.30 should be used instead.

What documentation supports K05.32?

Documentation should include clinical examination findings, probing depths, radiographic evidence of bone loss, treatment plans, and patient education efforts. Comprehensive records are essential for accurate coding and reimbursement.