ICD-10 Coding for Gingival Bleeding(K05.10)
Complete ICD-10-CM coding and documentation guide for Gingival Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gingival Bleeding
K05-K06Primary Range
Diseases of gingiva and edentulous alveolar ridge
This range includes codes for gingivitis and related conditions, including chronic plaque-induced gingivitis.
Key Information: ICD-10 code for gingival bleeding
Essential facts and insights about Gingival Bleeding
Primary ICD-10-CM Code for gingival bleeding index polar
Decision Criteria
clinical Criteria
- Presence of chronic inflammation with plaque and bleeding on probing.
documentation Criteria
- Detailed notes on index used, scores, and plaque presence.
Applicable To
- Chronic gingivitis with plaque
Clinical Validation Requirements
- Bleeding on probing (BOP) in ≥30% of sites
- Presence of visible plaque/calculus
- Gingival Index (GI) score ≥2
Code-Specific Risks
- Incorrectly coding acute gingivitis as chronic
- Failing to document plaque presence
Coding Notes
- Ensure documentation specifies the index used and scores to support the diagnosis.
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 Gingival Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K05.10.
Impact
Clinical: Inaccurate diagnosis of gingivitis type., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document plaque findings, Use standardized templates
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Use K05.00 for acute cases with sudden onset and ulceration.
Impact
Inadequate documentation of indices used and scores.
Mitigation Strategy
Use detailed templates and ensure all findings are recorded.
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 Gingival Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gingival Bleeding
Use these documentation templates to ensure complete and accurate documentation for Gingival Bleeding. These templates include all required elements for proper coding and billing.
Chronic gingivitis with plaque
Specialty: DentistryRequired Elements
- Index used
- Scores per tooth
- Percentage of bleeding sites
- Plaque presence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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