K08.5

K08.5: Unsatisfactory restoration of tooth

Non-billable headerICD-10-CM

K08.5 is a non-billable header ICD-10-CM code for unsatisfactory restoration of tooth. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

dental restoration status (Z98.811)

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.

endosseous dental implant failure (M27.6-)
unsatisfactory endodontic treatment (M27.5-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Defective bridge, crown, filling
Defective dental restoration

Excludes2 inherited from the categories above K08.5

Not part of this code, but both may be coded when both are present.

Written on K08: Other disorders of teeth and supporting structures

dentofacial anomalies [including malocclusion] (M26.-)
disorders of jaw (M27.-)

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 K08.5

8 child codes. Green means billable.