K08.53
K08.53: Fractured dental restorative material
Non-billable headerICD-10-CM
K08.53 is a non-billable header ICD-10-CM code for fractured dental restorative material. 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.
Excludes1 inherited from the categories above K08.53
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above K08.53
Not part of this code, but both may be coded when both are present.
Written on K08.5: Unsatisfactory restoration of tooth
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 K08.53
3 child codes. Green means billable.
Other codes under K08.5
- K08.50Unsatisfactory restoration of tooth, unspecified
- K08.51Open restoration margins of tooth
- K08.52Unrepairable overhanging of dental restorative materials
- K08.54Contour of existing restoration of tooth biologically incompatible with oral health
- K08.55Allergy to existing dental restorative material
- K08.56Poor aesthetic of existing restoration of tooth
- K08.59Other unsatisfactory restoration of tooth