ICDcodes.org
FY2027

K08.5Unsatisfactory restoration of tooth

Not billable

Is K08.5 billable?

No — K08.5 is a non-billable header code. K08.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath K08.5.

K08.5 at a glance

CodeK08.5
DescriptionUnsatisfactory restoration of tooth
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with K08.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • dental restoration status (Z98.811)

Excludes2 — not included here

The conditions below are not part of K08.5, but a patient may have both at the same time. When documentation supports it, K08.5 and the excluded code may both be reported.

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

Inclusion terms

Alternative wording in documentation that is classified to K08.5.

  • Defective bridge, crown, filling
  • Defective dental restoration

Excludes2 — not included here — inherited from Chapter 11

The conditions below are not part of K08.5, but a patient may have both at the same time. When documentation supports it, K08.5 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from K08

The conditions below are not part of K08.5, but a patient may have both at the same time. When documentation supports it, K08.5 and the excluded code may both be reported.

  • dentofacial anomalies [including malocclusion] (M26.-)
  • disorders of jaw (M27.-)

What codes fall under K08.5? (8)

How long has K08.5 existed?

K08.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the K08 family? (7)