K04.5

K04.5: Chronic apical periodontitis

Billable / specific codeICD-10-CM

K04.5 is a billable, specific ICD-10-CM code for chronic apical periodontitis. It is valid for submission on a claim.

Check K04.5 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

chronic periodontitis (K05.3-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Apical or periapical granuloma
Apical periodontitis NOS

Other codes that can never be billed with K04.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

K05.3Chronic periodontitis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Granuloma›apical
Granuloma›dental
Granuloma›periapical
Infection, infected, infective›periapical
Periodontitis›apical
Granuloma›pyogenic, pyogenicum›maxillary alveolar ridge

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K04