Is K05.0 a billable ICD-10-CM code?

No. K05.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does K05.0 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).

What cannot be coded together with K05.0?

K05.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

K05.0

K05.0 — Acute gingivitis

Non-billable headerICD-10-CM

K05.0 is a non-billable header ICD-10-CM code for acute gingivitis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

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

acute necrotizing ulcerative gingivitis (A69.1)
herpesviral [herpes simplex] gingivostomatitis (B00.2)

Risk adjustment

K05.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead K05.0

2 child codes. Green means billable.

Related codes at this level

Codes that share K05. If K05.0 is not quite right, the correct code is usually one of these.

Questions about K05.0

Is K05.0 a billable ICD-10-CM code?: No. K05.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K05.0 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Diseases of oral cavity and salivary glands (K00-K14).
What cannot be coded together with K05.0?: K05.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.