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ICD-10-CM 2027 diagnosis code

K05.321Chronic periodontitis, generalized, slight

✓ Billable / specific

K05.321 is a valid, billable ICD-10-CM code for chronic periodontitis, generalized, slight. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About K05.321

K05.321 is the ICD-10-CM diagnosis code for chronic periodontitis, generalized, slight. It belongs to category K05 (gingivitis and periodontal diseases), block K00-K14 (diseases of oral cavity and salivary glands) and chapter 11 (diseases of the digestive system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within K05.32 (chronic periodontitis, generalized), K05.321 is specifically for chronic periodontitis, generalized, slight. Related codes cover moderate (K05.322), severe (K05.323) and unspecified severity (K05.329).

Use an additional code to identify: alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco dependence (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31) and 2 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC, relative weight 5.6154), DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC, relative weight 4.381), DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC, relative weight 2.7307), DRG 157 (Dental and Oral Diseases with MCC, relative weight 1.809), DRG 158 (Dental and Oral Diseases with CC, relative weight 0.9366) and DRG 159 (Dental and Oral Diseases without CC/MCC, relative weight 0.6893), in Pre-MDC and MDC 03 (Diseases and Disorders of the Ear, Nose, Mouth and Throat), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2017, effective October 1, 2016.

Before ICD-10, this condition was coded in ICD-9-CM as 523.42 (chronic periodontitis, generalized).

Notes that apply from higher levels

Instructions written at a parent level also apply to K05.321.

› From K05.3 Chronic periodontitis
Excludes1
  • chronic apical periodontitis (K04.5)
› From K05 Gingivitis and periodontal diseases
Use additional code
  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Broader instructions also apply from Chapter 11: Diseases of the digestive system.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to K05.321.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 523.42Chronic periodontitis, generalizedapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about K05.321

Is K05.321 billable?

Yes. K05.321 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can K05.321 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict K05.321 as a principal diagnosis.

Is K05.321 a CC or MCC?

No. K05.321 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does K05.321 group to?

K05.321 is used in the MS-DRG v44.0 logic for MS-DRG 011 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC), MS-DRG 012 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC), MS-DRG 013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC), MS-DRG 157 (Dental and Oral Diseases with MCC), MS-DRG 158 (Dental and Oral Diseases with CC) and MS-DRG 159 (Dental and Oral Diseases without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for K05.321?

The CMS General Equivalence Mappings map K05.321 to ICD-9-CM 523.42.