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ICD-10 Guide
ICD-10 CodesK05.22

K05.22

Non-billable

Aggressive periodontitis, generalized

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

Code Description

ICD-10 K05.22 is a used to indicate a diagnosis of aggressive periodontitis, generalized.

Key Diagnostic Point:

Aggressive periodontitis, generalized, is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction. This condition primarily affects adolescents and young adults, although it can occur at any age. Clinically, patients may present with symptoms such as swollen, bleeding gums, and increased mobility of teeth. The disease is often associated with specific bacterial pathogens, including Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis. The disease progression can be rapid, leading to significant periodontal tissue destruction within a short time frame. Diagnosis is typically made through clinical examination, radiographic evaluation, and microbiological testing to identify pathogenic bacteria. Treatment involves a combination of mechanical debridement, antimicrobial therapy, and possibly surgical interventions to restore periodontal health. Regular follow-up is essential to monitor disease progression and ensure effective management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough clinical and microbiological evaluation.
  • Treatment complexity: Involves multi-faceted approaches including surgery and ongoing maintenance.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and follow-up care are necessary.
  • Coding specificity: Requires precise coding to differentiate from other periodontal diseases.

Audit Risk Factors

  • Common coding errors: Misclassification with other periodontal diseases.
  • Documentation gaps: Incomplete records of clinical findings or treatment plans.
  • Billing challenges: Potential denials due to lack of supporting documentation.

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 systemic health due to its association with conditions such as cardiovascular disease and diabetes. Understanding its epidemiology is crucial, as it predominantly affects younger populations, leading to increased healthcare utilization and impacting quality of life. Effective management and early intervention can improve outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Aggressive periodontitis has significant clinical implications, affecting not only oral health but also overall systemic health due to its association with conditions such as cardiovascular disease and diabetes. Understanding its epidemiology is crucial, as it predominantly affects younger populations, leading to increased healthcare utilization and impacting quality of life. Effective management and early intervention can improve outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the treatment and the necessity for ongoing maintenance therapy. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all services rendered are clearly linked to the diagnosis and that treatment plans are well-documented 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 K05.22?

K05.22 covers generalized aggressive periodontitis, which includes rapid attachment loss and bone destruction affecting multiple teeth. It is distinct from localized forms of aggressive periodontitis and requires specific diagnostic criteria.

When should K05.22 be used instead of related codes?

K05.22 should be used when the clinical presentation indicates generalized aggressive periodontitis, characterized by widespread periodontal tissue destruction, as opposed to localized forms or other periodontal diseases.

What documentation supports K05.22?

Documentation should include clinical examination findings, radiographic evidence of bone loss, microbiological testing results, and a detailed treatment plan. Regular follow-up notes demonstrating disease management are also essential.