InnovaRx Innova Health Strategies

K04.5

Chronic apical periodontitis

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 9 never code together
K04.5code
Excludes1
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 2
K04.5code
Inclusion terms
  • Apical or periapical granuloma
  • Apical periodontitis NOS
Index entries leading here 3
  • Granuloma L92.9
  • Periodontitis (chronic) (complex) (compound) (local) (simplex) K05.30
  • Infection, infected, infective (opportunistic) B99.9
Alongside this code 9 same parent — K04
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
K04
Block
K00-K14
Siblings
9

Present FY2024–FY2027.