Gingival enlargement

This code describes an abnormal increase in the size of the gingiva (gums), which can manifest as localized or generalized swelling, overgrowth, or hypertrophy. It represents a non-specific finding that may be due to various underlying causes, including inflammatory, drug-induced, or systemic conditions.

Use this code when documentation explicitly states "gingival enlargement," "gingival overgrowth," or "gingival hypertrophy" without further specification of the underlying etiology. This code is appropriate when the provider has not yet determined or documented the specific cause of the enlargement.

• Do not use this code if a more specific diagnosis for the gingival enlargement (e.g., drug-induced gingival hyperplasia) is documented.
• Consider sequencing this code as a secondary diagnosis if the primary reason for the encounter is the management of an underlying systemic condition contributing to the enlargement.
• Ensure the medical record clearly supports the presence of gingival enlargement through clinical examination findings or diagnostic reports.