K08.5
Non-Billable

Unsatisfactory restoration of tooth

Non-Billable / Non-Specific Code

What is Unsatisfactory restoration of tooth?

ICD-10-CM K08.5 is the diagnosis code for Unsatisfactory restoration of tooth. This code falls under the section "Diseases of oral cavity and salivary glands" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for K08.5

✅ This Code Includes

  • Defective bridge, crown, filling
  • Defective dental restoration

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as K08.5. They are mutually exclusive:

  • dental restoration status (Z98.811)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in K08.5. If the patient has both, code each condition separately:

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

ICD-10-CM Code Hierarchy

Understanding where K08.5 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 8 entries
K08.50Unsatisfactory restoration of tooth, unspecifiedBillableK08.51Open restoration margins of toothBillableK08.52Unrepairable overhanging of dental restorative materialsBillableK08.53Fractured dental restorative materialNon-BillableK08.530Fractured dental restorative material without loss of materialBillableK08.531Fractured dental restorative material with loss of materialBillableK08.539Fractured dental restorative material, unspecifiedBillableK08.54Contour of existing restoration of tooth biologically incompatible with oral healthBillableK08.55Allergy to existing dental restorative materialBillableK08.56Poor aesthetic of existing restoration of toothBillableK08.59Other unsatisfactory restoration of toothBillable
Related Codes

Frequently Asked Questions

Is K08.5 a billable ICD-10-CM code?

No, K08.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does K08.5 mean?

K08.5 is the ICD-10-CM diagnosis code for "Unsatisfactory restoration of tooth". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of K08.5?

The parent code of K08.5 is K08 ("Other disorders of teeth and supporting structures"). K08.5 provides a more specific classification within this category.

What section is K08.5 in?

K08.5 is located in Section K00-K14 — "Diseases of oral cavity and salivary glands" within Chapter 11 of the ICD-10-CM Tabular List.

What are the sub-codes of K08.5?

K08.5 has 8 sub-code(s) that provide more specific detail: K08.50, K08.51, K08.52, K08.53, K08.54 and more.

When should I use K08.5?

Use K08.5 when the patients documented diagnosis matches "Unsatisfactory restoration of tooth" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Unsatisfactory restoration of tooth?

The ICD-10-CM code for Unsatisfactory restoration of tooth is K08.5.

Can K08.5 be used for primary diagnosis?

No, K08.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is K08.5 in?

K08.5 is in Chapter 11 of the ICD-10-CM Tabular List.

What conditions are excluded from K08.5?

Type 1 Excludes for K08.5 include: dental restoration status (Z98.811).

Is K08.5 valid for 2026?

Yes, K08.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK08.499Partial loss of teeth due to other specified cause, unspecified classNext →K08.50Unsatisfactory restoration of tooth, unspecified
Code Details
K08.5
Unsatisfactory restoration of tooth
Non-Billable / Non-Specific Code
11 — Diseases of the digestive system (K00-K95)
K00-K14 — Diseases of oral cavity and salivary glands
2026 ICD-10-CM