2020 ICD-10-CM Diagnosis Code K08.5

Unsatisfactory restoration of tooth

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K08.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM K08.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K08.5 - other international versions of ICD-10 K08.5 may differ.
Applicable To
  • Defective bridge, crown, filling
  • Defective dental restoration
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K08.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dental restoration status (
    ICD-10-CM Diagnosis Code Z98.811

    Dental restoration status

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Dental crown status
    • Dental fillings status
    Z98.811
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (K08.5) and the excluded code together.
  • endosseous dental implant failure (
    ICD-10-CM Diagnosis Code M27.6

    Endosseous dental implant failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M27.6-
    )
  • unsatisfactory endodontic treatment (
    ICD-10-CM Diagnosis Code M27.5

    Periradicular pathology associated with previous endodontic treatment

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M27.5-
    )
The following code(s) above K08.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K08.5:
  • K00-K95
    2020 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K08
    ICD-10-CM Diagnosis Code K08

    Other disorders of teeth and supporting structures

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • dentofacial anomalies [including malocclusion] (M26.-)
    • disorders of jaw (M27.-)
    Other disorders of teeth and supporting structures
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To K08.5
K08.432 …… class II
K08.433 …… class III
K08.434 …… class IV
K08.439 …… unspecified class
K08.49 Partial loss of teeth due to other specified cause
K08.491 …… class I
K08.492 …… class II
K08.493 …… class III
K08.494 …… class IV
K08.499 …… unspecified class
K08.5 Unsatisfactory restoration of tooth
K08.50 …… unspecified
K08.51 Open restoration margins of tooth
K08.52 Unrepairable overhanging of dental restorative materials
K08.53 Fractured dental restorative material
K08.530 …… without loss of material
K08.531 …… with loss of material
K08.539 …… unspecified
K08.54 Contour of existing restoration of tooth biologically incompatible with oral health
K08.55 Allergy to existing dental restorative material
K08.56 Poor aesthetic of existing restoration of tooth

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.