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ICD-10 Guide
ICD-10 CodesK06.02

K06.02

Non-billable

Gingival recession, generalized

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

Code Description

ICD-10 K06.02 is a used to indicate a diagnosis of gingival recession, generalized.

Key Diagnostic Point:

Gingival recession, generalized, refers to the apical migration of the gingival margin, resulting in exposure of the root surfaces of the teeth. This condition can occur due to various factors, including periodontal disease, mechanical trauma from aggressive brushing, or anatomical predispositions. Clinically, patients may present with sensitivity to temperature changes, aesthetic concerns, and increased risk of root caries. The anatomy involved includes the gingiva, periodontal ligament, and underlying alveolar bone. Disease progression can lead to further periodontal issues if not addressed, potentially resulting in tooth mobility and loss. Diagnostic considerations include clinical examination, probing depth measurements, and radiographic evaluation to assess the extent of periodontal attachment loss. Treatment may involve non-surgical periodontal therapy, patient education on proper oral hygiene techniques, and in some cases, surgical interventions to restore gingival tissue. Early diagnosis and management are crucial to prevent further complications and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical evaluation and understanding of periodontal health.
  • Treatment complexity: May involve multiple treatment modalities, including non-surgical and surgical options.
  • Documentation requirements: Detailed documentation of clinical findings, treatment plans, and patient education is essential.
  • Coding specificity: Requires accurate coding to differentiate from other periodontal conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with localized gingival recession codes.
  • Documentation gaps: Incomplete records of clinical findings or treatment plans.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

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

Gingival recession has significant clinical implications, affecting not only oral health but also overall quality of life. It can lead to increased sensitivity, aesthetic concerns, and higher susceptibility to dental caries. The prevalence of gingival recession highlights its importance in population health, as it is often associated with poor oral hygiene and periodontal disease. Effective management of this condition can improve healthcare utilization patterns by reducing the need for more invasive treatments and enhancing patient satisfaction and quality measures.

ICD-9 vs ICD-10

Gingival recession has significant clinical implications, affecting not only oral health but also overall quality of life. It can lead to increased sensitivity, aesthetic concerns, and higher susceptibility to dental caries. The prevalence of gingival recession highlights its importance in population health, as it is often associated with poor oral hygiene and periodontal disease. Effective management of this condition can improve healthcare utilization patterns by reducing the need for more invasive treatments and enhancing patient satisfaction and quality measures.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, so understanding the specific requirements for each insurance provider is crucial.

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 K06.02?

K06.02 specifically covers generalized gingival recession, which may be associated with periodontal disease, mechanical trauma, or anatomical factors. It does not cover localized recession or other periodontal conditions.

When should K06.02 be used instead of related codes?

K06.02 should be used when the gingival recession is generalized across multiple teeth rather than localized to a specific area. Accurate assessment of the extent of recession is crucial for appropriate code selection.

What documentation supports K06.02?

Documentation should include clinical examination findings, probing depths, patient history, and any treatment plans. Radiographs may also be necessary to assess periodontal attachment loss.