2020 ICD-10-CM Diagnosis Code K08.55

Allergy to existing dental restorative material

    2016 2017 2018 2019 2020 Billable/Specific Code
  • K08.55 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM K08.55 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K08.55 - other international versions of ICD-10 K08.55 may differ.
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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify the specific type of allergy
The following code(s) above K08.55 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 K08.55:
  • 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
  • K08.5
    ICD-10-CM Diagnosis Code K08.5

    Unsatisfactory restoration of tooth

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Defective bridge, crown, filling
    • Defective dental restoration
    Type 1 Excludes
    • dental restoration status (Z98.811)
    Type 2 Excludes
    • endosseous dental implant failure (M27.6-)
    • unsatisfactory endodontic treatment (M27.5-)
    Unsatisfactory restoration of tooth
Approximate Synonyms
  • Existing dental restorative material allergy
ICD-10-CM K08.55 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 157 Dental and oral diseases with mcc
  • 158 Dental and oral diseases with cc
  • 159 Dental and oral diseases without cc/mcc

Convert K08.55 to ICD-9-CM

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

Diagnosis Index entries containing back-references to K08.55:
  • Allergy, allergic (reaction) (to) T78.40
    ICD-10-CM Diagnosis Code T78.40

    Allergy, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Allergic reaction NOS
    • Hypersensitivity NOS
    • dental restorative material K08.55 (existing)
  • Restorative material (dental)
    • allergy to K08.55

ICD-10-CM Codes Adjacent To K08.55
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
K08.59 Other unsatisfactory restoration of tooth
K08.8 Other specified disorders of teeth and supporting structures
K08.81 Primary occlusal trauma
K08.82 Secondary occlusal trauma
K08.89 Other specified disorders of teeth and supporting structures
K08.9 Disorder of teeth and supporting structures, unspecified
K09 Cysts of oral region, not elsewhere classified
K09.0 Developmental odontogenic cysts
K09.1 Developmental (nonodontogenic) cysts of oral region

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