What is the ICD 10 code for gingivostomatitis?

what is the icd 10 code for gingivostomatitis

Gingivostomatitis: Understanding the ICD-10 Code

Gingivostomatitis is a common oral condition characterized by inflammation of the gums and mouth. It can cause discomfort, pain, and difficulty in eating or speaking. For medical professionals and coders, accurately documenting and coding this condition is essential for proper diagnosis and billing purposes.

The International Classification of Diseases, Tenth Revision (ICD-10), provides a standardized coding system used worldwide to classify and code various diseases, including gingivostomatitis. The specific ICD-10 code for gingivostomatitis is K05.1.

Understanding the ICD-10 Code: K05.1

ICD-10 code K05.1 falls under the category of “Other Diseases of Gingiva and Edentulous Alveolar Ridge.” This code is used to identify cases of gingivostomatitis in medical records, insurance claims, and healthcare databases. It allows healthcare providers, researchers, and insurance companies to track and analyze the prevalence and impact of this condition.

Importance of Proper Coding

Accurate coding of gingivostomatitis using the ICD-10 code K05.1 is crucial for several reasons:

1. Diagnosis and Treatment: Proper coding helps healthcare professionals diagnose and treat patients effectively. It ensures that the condition is correctly identified and addressed, leading to appropriate treatment plans and improved patient outcomes.

2. Insurance Reimbursement: Correct coding is essential for insurance claims and reimbursement. Using the accurate ICD-10 code for gingivostomatitis ensures that healthcare providers receive appropriate reimbursement for the services provided.

3. Research and Data Analysis: Proper coding allows researchers and public health agencies to collect and analyze data on gingivostomatitis. This data helps in understanding the prevalence, risk factors, and potential interventions for this condition.

4. Public Health Monitoring: Accurate coding helps public health agencies monitor the occurrence and trends of gingivostomatitis. This information is valuable for implementing preventive measures, public health campaigns, and resource allocation.


In conclusion, the ICD-10 code for gingivostomatitis is K05.1. Proper coding of this condition is crucial for accurate diagnosis, effective treatment, insurance reimbursement, research, and public health monitoring. By using the correct code, healthcare professionals contribute to a comprehensive understanding of gingivostomatitis and ensure optimal care for patients.

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