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Compare/B00.2 vs K05.0

B00.2 vs K05.0

B00.2 (Herpesviral gingivostomatitis and pharyngotonsillitis) compared with K05.0 (Acute gingivitis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. K05.0 carries an Excludes1 note covering B00.2: “herpesviral [herpes simplex] gingivostomatitis (B00.2)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

B00.2Herpesviral gingivostomatitis and pharyngotonsillitisK05.0Acute gingivitis
Billing statusBillableNon-billable header

Report instead: K05.00, K05.01

ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionHerpesviral gingivostomatitis and pharyngotonsillitis is a billable ICD-10-CM diagnosis code (B00.2).Acute gingivitis is a non-billable ICD-10-CM category code (K05.0).
Includes
Herpesviral pharyngitis
Use additional code
code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources