Is ICD-10-CM code K06 billable?

No, K06 (Other disorders of gingiva and edentulous alveolar ridge) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code K06 belong to?

K06 belongs to Chapter 11 of the ICD-10-CM tabular list: K00–K95 (Diseases of the Digestive System).

K06Not billable, use a more specific code below

Other disorders of gingiva and edentulous alveolar ridge

In Diseases of oral cavity and salivary glands (K00-K14), chapter 11: Diseases of the Digestive System

13 billable codes under K06: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes2: not included here, code separately if applicable

acute gingivitis (K05.0)
atrophy of edentulous alveolar ridge (K08.2)
chronic gingivitis (K05.1)
gingivitis NOS (K05.1)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.

Read Section I.C.11 (page 58)

All codes under K06

K06 can't be used on a claim. Pick a billable code below; grey headings group them.

K06 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

Other codes that refer to K06

Notes on these codes point to K06.

K13 Excludes2: certain disorders of gingiva and edentulous alveolar ridge (K05-K06)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

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.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.