Periodontitis, or gum disease, is caused by plaque buildup due to poor oral hygiene habits like inadequate brushing and flossing. It damages the soft tissue and bone supporting teeth, potentially leading to tooth loosening or loss. Common symptoms include bleeding gums, bad breath, and swollen gums. Diagnosis involves dental exams and X-rays to check for bone loss. Treatment depends on severity but may include nonsurgical procedures like scaling and root planing or surgical options like grafts or bone grafting. Maintaining good oral hygiene can prevent gum disease.

1. Summary - Gum disease or periodontitis
damages the soft tissue and destroys the
bone that supports the teeth.
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Poor oral hygiene can lead to serious gum disorders and cavities. Periodontitis or gum
disease damages the soft tissue and destroys the bone that supports the teeth.
Periodontal disease occurs due to poor brushing and flossing habits that causes plaque
(a sticky film of bacteria) to build up around the tooth. The condition can cause teeth
to loosen or lead to tooth loss. This common dental condition is largely preventable.
Practicing good dental habits like brushing twice a day, flossing daily and getting
regular dental checkups can help prevent the condition in the long run. Billing and
coding for periodontitis can be challenging. When it comes to reporting symptoms and
diagnosis of this dental condition, dentists can rely on an experienced dental billing
company.
Signs and Symptoms
Periodontitis starts as inflammation and may progress slowly without producing any
specific symptoms, even in the later stages of the disease. If left untreated, the
inflammation can spread down below the gums and along the roots of the teeth, causing
possible destruction of the periodontal ligament and the supporting alveolar bones.
Common symptoms of the condition include - swollen gums, pus between the teeth and
gums, bad breath, bleeding gums, painful chewing and a metallic taste in the mouth.
ICD-10 Codes for Periodontitis
Diagnosing periodontitis starts with a routine dental examination to look for plaque and
tartar buildup and check for easy bleeding.A dentist may use a rule (called a probe) to
measure the pocket depth of the groove between the gums and teeth. Dental X-rays may
also be taken to check for bone loss in areas where your dentist observes deeper pocket
depths.Treatment of the condition will depend on the severity of the disease and other
factors. Treatment modalities include a combination of surgical and non-surgical
treatments like antibiotics, scaling, root planing, soft tissue grafts, flap surgery and bone
grafting. If left untreated, the inflammation can spread down below the gums and along
the roots of the teeth, causing possible destruction of the periodontal ligament and the
supporting alveolar bones.
ICD-10 codes for diagnosing periodontal disease include –
• K05.2 Aggressive periodontitis
• K05.20 Aggressive periodontitis, unspecified
• K05.21 Aggressive periodontitis, localized

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✓ K05.211 …… slight
✓ K05.212 …… moderate
✓ K05.213 …… severe
✓ K05.219 …… unspecified severity
• K05.22 Aggressive periodontitis, generalized
✓ K05.221 …… slight
✓ K05.222 …… moderate
✓ K05.223 …… severe
✓ K05.229 …… unspecified severity
• K05.3 Chronic periodontitis
• K05.30 Chronic periodontitis, unspecified
• K05.31 Chronic periodontitis, localized
✓ K05.311 …… slight
✓ K05.312 …… moderate
✓ K05.313 …… severe
✓ K05.319 …… unspecified severity
• K05.32 Chronic periodontitis, generalized
✓ K05.321 …… slight
✓ K05.322 …… moderate
✓ K05.323 …… severe
✓ K05.329 …… unspecified severity
• K05.4 Periodontosis
• K05.5 Other periodontal diseases
• K05.6 Periodontal disease, unspecified
Good oral hygiene can help keep the teeth and gums healthy and prevent infection in
the long run. Measures to prevent gum disease include brushing teeth twice daily with
fluoride toothpaste, maintaining a healthy, balanced diet and getting dental cleanings as
recommended
Billing and coding for dental disorders can be complex. For accurate and timely billing
and claims submission, dental practices can outsource these tasks to a reliable dental
billing service that provides the experienced AAPC-certified coders and billing
personnel.