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ICD-10 Guide
ICD-10 CodesK05.221

K05.221

Billable

Aggressive periodontitis, generalized, slight

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

Code Description

ICD-10 K05.221 is a billable code used to indicate a diagnosis of aggressive periodontitis, generalized, slight.

Key Diagnostic Point:

Aggressive periodontitis, generalized, slight, is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction, primarily affecting adolescents and young adults. Clinically, patients may present with localized areas of inflammation, gingival swelling, and increased probing depths, although the generalized form can affect multiple teeth. The disease typically involves the loss of periodontal attachment and alveolar bone, which can lead to tooth mobility and potential loss if untreated. The etiology is multifactorial, including genetic predisposition, bacterial infection, and environmental factors such as smoking. Diagnosis is primarily through clinical examination and radiographic assessment, which reveals bone loss patterns. Early intervention is crucial to manage the disease and prevent further progression. Treatment often includes scaling and root planing, antimicrobial therapy, and patient education on oral hygiene practices. 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 thorough clinical evaluation and radiographic analysis.
  • Treatment complexity: Involves multi-disciplinary approaches including periodontics and possibly surgery.
  • Documentation requirements: Detailed records of clinical findings, treatment plans, and patient compliance are necessary.
  • Coding specificity: Requires precise coding to differentiate from other forms of periodontitis.

Audit Risk Factors

  • Common coding errors: Misclassification of aggressive periodontitis types.
  • 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

Primary medical specialty: 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

Secondary specialty: Periodontics

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, particularly in younger populations, has significant implications for oral health and overall well-being. It can lead to tooth loss and impact quality of life, necessitating effective management strategies. Understanding the epidemiology of this condition helps in developing targeted prevention and treatment programs, ultimately reducing healthcare utilization and improving population health outcomes.

ICD-9 vs ICD-10

Aggressive periodontitis, particularly in younger populations, has significant implications for oral health and overall well-being. It can lead to tooth loss and impact quality of life, necessitating effective management strategies. Understanding the epidemiology of this condition helps in developing targeted prevention and treatment programs, ultimately reducing healthcare utilization and improving population health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed records of clinical findings, treatment plans, and patient compliance with oral hygiene instructions. Common denials may arise from insufficient documentation or incorrect coding, emphasizing the importance of accurate coding practices. Providers should ensure that all services rendered are well-documented and justified to avoid billing challenges.

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 K05.221?

K05.221 specifically covers generalized aggressive periodontitis, which is characterized by rapid attachment loss and bone destruction affecting multiple teeth, typically in younger patients.

When should K05.221 be used instead of related codes?

K05.221 should be used when the clinical presentation indicates generalized aggressive periodontitis with slight severity, as opposed to localized forms or other periodontal diseases.

What documentation supports K05.221?

Documentation must include clinical examination findings, radiographic evidence of bone loss, treatment plans, and patient education efforts to support the diagnosis of K05.221.