ICDcodes.org
FY2027

K05.20Aggressive periodontitis, unspecified

BillableUnspecified

Is K05.20 billable?

Yes, but K05.20 is an unspecified code. K05.20 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, K05.20 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting K05.20 — the more specific alternatives are listed below.

K05.20 at a glance

CodeK05.20
DescriptionAggressive periodontitis, unspecified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does K05.20 group to?

K05.20 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
  • 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
  • 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical

How is K05.20 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to K05.20. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Infection, infected, infectiveperidental, periodontal (opportunistic)
  • Pericementitisacute (chronic) (suppurative)
  • Periodontitisacute (chronic) (complex) (compound) (local) (simplex)
  • Periodontitisaggressive (chronic) (complex) (compound) (local) (simplex)
  • Suppuration, suppurativegum
  • Abscessgingivalaggressive (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
  • Abscessgumaggressive (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
  • Infection, infected, infectivetooth, teethperidental, periodontal (opportunistic)

Excludes1 — never code together — inherited from K05.2

The conditions below can never be reported together with K05.20 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • acute apical periodontitis (K04.4)
  • periapical abscess (K04.7)
  • periapical abscess with sinus (K04.6)

Use additional code — inherited from K05

Report an additional code alongside K05.20 to fully describe the condition. K05.20 is sequenced first.

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Excludes2 — not included here — inherited from Chapter 11

The conditions below are not part of K05.20, but a patient may have both at the same time. When documentation supports it, K05.20 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

How long has K05.20 existed?

K05.20 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to K05.20?

What other codes are in the K05.2 family? (2)