K05.5

K05.5: Other periodontal diseases

Billable / specific codeICD-10-CM

K05.5 is a billable, specific ICD-10-CM code for other periodontal diseases. It is valid for submission on a claim.

Check K05.5 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

leukoplakia of gingiva (K13.21)

Inclusion terms

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

Combined periodontic-endodontic lesion
Narrow gingival width (of periodontal soft tissue)

Risk adjustment

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

Medicare coverage

K05.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56767Billing and Coding: Heavy Metal Testing

Alphabetic index entries that lead here

Lesion›combined periodontic - endodontic
Lesion›periodontal, due to traumatic occlusion
Narrow›gingival width(of periodontal soft tissue)
Disease, diseased›periodontal›specified NEC
Occlusion, occluded›traumatic›periodontal

Code history

Unchanged in every release from FY2024 to FY2027.