ICD-10 K05.213
Billable / SpecificAggressive periodontitis, localized, severe
About ICD-10-CM K05.213
ICD-10-CM code K05.213 represents Aggressive periodontitis, localized, severe. This is a billable/specific code in the Digestive System chapter (block K05). The 2026 edition of ICD-10-CM K05.213 became effective on October 1, 2025.
Medicare LCD Coverage for K05.213
Local Coverage Determinations (LCDs) from CMS MACs that list K05.213 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K05.213.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K05.213 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with K05.213
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert K05.213 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| K05.213 | 52331 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K05.213
Other codes in section K00-K14 (Diseases of oral cavity and salivary glands).
ICD-10 K05.213, Billing FAQ
Is ICD-10 code K05.213 billable? +
Yes, K05.213 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does K05.213 map to? +
Per CMS GEMs, K05.213 maps to ICD-9 codes: 52331. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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