K04.5 Chronic apical periodontitis

The ICD-10-CM code for Chronic apical periodontitis is K04.5 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

11: Diseases of the digestive system (K00-K95)

Section

K00-K14: Diseases of oral cavity and salivary glands (K00-K14)

Category K04

15 codes (12 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to K04.5:

• Periodontitis (chronic) (complex) (compound) (local) (simplex) › apical
• Granuloma › apical
• Granuloma › dental
• Infection, infected, infective (opportunistic) › periapical
• Granuloma › periapical
• Granuloma › pyogenic, pyogenicum (of) (skin) › maxillary alveolar ridge

Inclusion Terms

• Apical or periapical granuloma
• Apical periodontitis NOS

U.S. Hospital Utilization

• An estimated 985 U.S. inpatient stays in 2023 included K04.5 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 11 reserved for future expansion

11. Chapter 11: Diseases of the Digestive System (K00-K95) Reserved for future guideline expansion

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)