ICD-10 Coding for Dental Disease(K05.10, K05.311)
Complete ICD-10-CM coding and documentation guide for Dental Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dental Disease
K00-K14Primary Range
Diseases of oral cavity, salivary glands, and jaws
This range includes all dental and periodontal conditions, making it the primary range for dental diseases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K05.10 | Chronic gingivitis, plaque-induced | Use for plaque-induced inflammation without attachment loss. |
|
| K05.311 | Chronic periodontitis, localized, slight | Use for slight localized periodontitis with minimal attachment loss. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic gingivitis
Essential facts and insights about Dental Disease
Primary ICD-10-CM Codes for dental disease
Decision Criteria
clinical Criteria
- Presence of plaque and bleeding on probing
Applicable To
- Plaque-induced gingivitis
Excludes
- Acute gingivitis (K05.00)
Clinical Validation Requirements
- Generalized erythema, edema, and bleeding on probing
- Supragingival calculus present
Code-Specific Risks
- Misclassification if not plaque-induced
Coding Notes
- Ensure documentation specifies plaque-induced nature.
K05.311 - Chronic periodontitis, localized, slight
Use for slight localized periodontitis with minimal attachment loss.
Applicable To
- Localized slight periodontitis
Excludes
- Aggressive periodontitis (K05.219)
Clinical Validation Requirements
- 1-3mm clinical attachment loss
- Localized bone loss on radiographs
Coding Notes
Document specific sites and severity of attachment loss.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dental Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K05.10.
Impact
Clinical: Misdiagnosis of gingivitis type., Regulatory: Non-compliance with coding standards., Financial: Potential claim rejections.
Mitigation Strategy
Verify plaque presence during examination, Use specific terminology in documentation
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Use K05.11 for non-plaque-induced cases.
Impact
Incorrect coding of periodontal disease severity.
Mitigation Strategy
Regular training on coding updates and documentation standards.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dental Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dental Disease
Use these documentation templates to ensure complete and accurate documentation for Dental Disease. These templates include all required elements for proper coding and billing.
Chronic Periodontitis Documentation
Specialty: DentistryRequired Elements
- Medical History
- Clinical Findings
- Diagnosis
- Treatment
- Patient Education
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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