K03

K03: Other diseases of hard tissues of teeth

Non-billable headerICD-10-CM

K03 is a non-billable header ICD-10-CM code for other diseases of hard tissues of teeth. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

bruxism (F45.8)
dental caries (K02.-)
teeth-grinding NOS (F45.8)

Other codes that can never be billed with K03

Their own Excludes1 notes name this code, so the conflict is not listed above.

K08.53Fractured dental restorative material
S02.5Fracture of tooth (traumatic)
S02.5XXAFracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXBFracture of tooth (traumatic), initial encounter for open fracture
S02.5XXDFracture of tooth (traumatic), subsequent encounter for fracture with routine healing
S02.5XXGFracture of tooth (traumatic), subsequent encounter for fracture with delayed healing
S02.5XXKFracture of tooth (traumatic), subsequent encounter for fracture with nonunion
S02.5XXSFracture of tooth (traumatic), sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K03

10 child codes. Green means billable.