ICD-10 K06
Non-Billable HeaderOther disorders of gingiva and edentulous alveolar ridge
About ICD-10-CM K06
ICD-10-CM code K06 represents Other disorders of gingiva and edentulous alveolar ridge. This is a non-billable header code in the Digestive System chapter (block K06). The 2026 edition of ICD-10-CM K06 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of K06, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- acute gingivitis (K05.0)
- atrophy of edentulous alveolar ridge (K08.2)
- chronic gingivitis (K05.1)
- gingivitis NOS (K05.1)
Medicare LCD Coverage for K06
Local Coverage Determinations (LCDs) from CMS MACs that list K06 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 K06.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K06 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with K06
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.
Codes Adjacent To K06
Other codes in section K00-K14 (Diseases of oral cavity and salivary glands).
ICD-10 K06, Billing FAQ
Is ICD-10 code K06 billable? +
No, K06 is a non-billable header code. Use a more specific child code from block K06 when submitting claims.
What codes are Type 2 Excludes for K06? +
Type 2 Excludes (may be coded together when both conditions exist): acute gingivitis (K05.0); atrophy of edentulous alveolar ridge (K08.2); chronic gingivitis (K05.1)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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