ICD-10 K05.219
Billable / SpecificAggressive periodontitis, localized, unspecified severity
About ICD-10-CM K05.219
ICD-10-CM code K05.219 represents Aggressive periodontitis, localized, unspecified severity. This is a billable/specific code in the Digestive System chapter (block K05). The 2026 edition of ICD-10-CM K05.219 became effective on October 1, 2025.
Medicare LCD Coverage for K05.219
Local Coverage Determinations (LCDs) from CMS MACs that list K05.219 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 K05.219.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K05.219 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with K05.219
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 K05.219 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 |
|---|---|---|
| K05.219 | 52331 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K05.219
Other codes in section K00-K14 (Diseases of oral cavity and salivary glands).
ICD-10 K05.219, Billing FAQ
Is ICD-10 code K05.219 billable? +
Yes, K05.219 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does K05.219 map to? +
Per CMS GEMs, K05.219 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 July 16, 2026.
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