K05.3
K05.3: Chronic periodontitis
Non-billable headerICD-10-CM
K05.3 is a non-billable header ICD-10-CM code for chronic periodontitis. 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.
- chronic apical periodontitis (K04.5)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Chronic pericoronitis
- Complex periodontitis
- Periodontitis NOS
- Simplex periodontitis
Other codes that can never be billed with K05.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K04.5Chronic apical periodontitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead K05.3
3 child codes. Green means billable.