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K05.319

Billable

Chronic periodontitis, localized, unspecified severity

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A long-term gum disease affecting one or a few specific areas of the mouth, but the severity level is not specified.

Coding Tips

  • Use this code only when localization is documented as localized but severity cannot be determined from available clinical information
  • Query the provider if severity information is available elsewhere in the medical record to assign a more specific code

Code Hierarchy

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