K08.53 — Fractured dental restorative material
Is K08.53 billable?
No — K08.53 is a non-billable header code. K08.53 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 3 billable codes beneath K08.53.
K08.53 at a glance
| Code | K08.53 |
|---|---|
| Description | Fractured dental restorative material |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with K08.53 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from K08.5
The conditions below can never be reported together with K08.53 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 — inherited from Chapter 11
The conditions below are not part of K08.53, but a patient may have both at the same time. When documentation supports it, K08.53 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 K08.53, but a patient may have both at the same time. When documentation supports it, K08.53 and the excluded code may both be reported.
Excludes2 — not included here — inherited from K08.5
The conditions below are not part of K08.53, but a patient may have both at the same time. When documentation supports it, K08.53 and the excluded code may both be reported.
What codes fall under K08.53? (3)
How long has K08.53 existed?
K08.53 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 K08.5 family? (7)
- K08.50Unsatisfactory restoration of tooth, unspecified
- K08.51Open restoration margins of tooth
- K08.52Unrepairable overhanging of dental restorative materials
- 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