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Home/Diagnosis/ICD-10 Coding for Gingival Abscess

ICD-10 Coding for Gingival Abscess

K05.00
K12.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gingival abscess includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gum Abscess
Periodontal Abscess
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Key Information: ICD-10 Coding for Gingival Abscess

Essential facts and insights about ICD-10 Coding for Gingival Abscess

Use ICD-10 code K05.00 for acute gingivitis, plaque-induced, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute gingivitis, plaque-induced

Billable Code
K05.00
Billable

Diagnostic Criteria

clinical:
  • • Presence of plaque
  • • Gingival inflammation
  • • Abscess formation
documentation:
  • • Detailed description of gingival condition and abscess

Applicable To

  • • Plaque-induced gingivitis with abscess

Important Notes

  • • Ensure documentation specifies plaque-induced etiology.

Cellulitis and abscess of mouth

Billable Code
K12.2
Billable

Diagnostic Criteria

clinical:
  • • Abscess in oral cavity
  • • Exclusion of periapical origin

Applicable To

  • • Abscess of mouth

Important Notes

  • • Ensure abscess is not of dental pulp origin.
Ancillary Codes

Additional codes that may be used with this diagnosis

K12.2

Cellulitis and abscess of mouth

Use as a secondary code if the abscess extends beyond the gingiva.

Frequently Asked Questions

What is the ICD-10 code for gingival abscess?

The ICD-10 code for gingival abscess is typically K05.00 for plaque-induced cases, with K12.2 used for abscesses extending beyond the gingiva.

How do you document a gingival abscess?

Document the location, etiology, and characteristics of the abscess, including any treatment provided, to ensure accurate coding.

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