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K05.00

Billable

Acute gingivitis, plaque induced

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This is a sudden inflammation of the gums caused by plaque buildup on the teeth. The gums may appear red, swollen, and bleed easily when brushing or flossing.

Coding Tips

  • •Verify that the gingivitis is acute (sudden onset) rather than chronic, as chronic gingivitis uses code K05.10
  • •Confirm the gingivitis is plaque-induced; if caused by other factors (medication, hormonal changes, etc.), different codes apply

Code Hierarchy

└K05Gingivitis and periodontal diseases└K05.0Acute gingivitis└K05.00Acute gingivitis, plaque induced
└K05.00Acute gingivitis, plaque induced

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