K08.5
Header — not billableUnsatisfactory restoration of tooth
The ICD-10 code for unsatisfactory restoration of tooth is K08.5.
K08.5 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 8 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- dental restoration status (Z98.811)
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Defective bridge, crown, filling
- Defective dental restoration
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under K08.5
- K08.50Unsatisfactory restoration of tooth, unspecified
- K08.51Open restoration margins of tooth
- K08.52Unrepairable overhanging of dental restorative materials
- K08.53Fractured dental restorative materialnon-billable header
- 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
Related codes in this category
- K08.0Exfoliation of teeth due to systemic causes
- K08.1Complete loss of teethnon-billable header
- K08.2Atrophy of edentulous alveolar ridgenon-billable header
- K08.3Retained dental root
- K08.4Partial loss of teethnon-billable header
- K08.8Other specified disorders of teeth and supporting structuresnon-billable header
- K08.9Disorder of teeth and supporting structures, unspecified
- K08.5Unsatisfactory restoration of toothnon-billable header