2026 ICD-10-CM Diagnosis Code K05.313Chronic periodontitis, localized, severe

ICD-10-CM Codes›K00–K95›K00-K14›K05

ICD-10-CM K05.313
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K05.313 is a billable ICD-10-CM diagnosis code for chronic periodontitis, localized, severe. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 157 through 159. Coders also document this condition as AAP/EFP 2017 Classification of Periodontal and Peri‐implant Diseases and Conditions localized periodontitis Stage 3 Grade A. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; Caries, periodontitis, and other preventable dental conditions; and Disorders of teeth and gingiva.

Code Identity

ICD-10-CM Code
K05.313
Billable Status
Yes — Valid for Submission
Code Describes
Chronic periodontitis, localized, severe
Short Description
Chronic periodontitis, localized, severe
Same as the full description in the CMS dataset.
Parent Code
K05.31
Chronic periodontitis, localized

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK00-K14Diseases of oral cavity and salivary glands
CategoryK05Gingivitis and periodontal diseases
This CodeK05.313Chronic periodontitis, localized, severe

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • AAP/EFP 2017 Classification of Periodontal and Peri‐implant Diseases and Conditions localized periodontitis Stage 3 Grade A
  • AAP/EFP 2017 Classification of Periodontal and Peri‐implant Diseases and Conditions localized periodontitis Stage 3 Grade B
  • AAP/EFP 2017 Classification of Periodontal and Peri‐implant Diseases and Conditions localized periodontitis Stage 3 Grade C
  • Localized chronic periodontitis
  • Localized severe chronic periodontitis

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Periodontitis(chronic) (complex) (compound) (local) (simplex)
      • localized
        • severe

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DEN001
Any dental condition including traumatic injury
Default principal diagnosis: inpatient No · outpatient No
CCSR DEN003
Caries, periodontitis, and other preventable dental conditions
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG002
Disorders of teeth and gingiva
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DEN002
Nontraumatic dental conditions
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Gum Disease

If you have gum disease, you're not alone. Many U.S. adults currently have some form of the disease. It ranges from simple gum inflammation, called gingivitis, to serious damage to the tissue and bone supporting the teeth. In the worst cases, you can lose teeth.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K05.313 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
523.41 Chr periodontitis, local
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement K05.313 replaces the following previously assigned code(s):

  • K05.31 - Chronic periodontitis, localized
FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K05.313Overview

Is K05.313 (Chronic periodontitis, localized) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chronic periodontitis, localized, severe on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K05.313 group to?

When chronic periodontitis, localized, severe is the principal diagnosis on an inpatient stay, it groups to MS-DRG 157, 158, 159, with relative weights from 0.7085 to 1.7168 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K05.313?

Under the General Equivalence Mappings, chronic periodontitis, localized, severe converts to ICD-9-CM 523.41 (chr periodontitis, local). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.