K08.539 — Fractured dental restorative material, unspecified
Is K08.539 billable?
Yes, but K08.539 is an unspecified code. K08.539 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, K08.539 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting K08.539 — the more specific alternatives are listed below.
K08.539 at a glance
| Code | K08.539 |
|---|---|
| Description | Fractured dental restorative material, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does K08.539 group to?
K08.539 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
How is K08.539 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to K08.539. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › dental restorative material (pathologic)
- Fracture, pathological › restorative material (pathologic)
- Fracture, traumatic › dental restorative material (abduction) (adduction) (separation)
- Fracture, traumatic › restorative material (abduction) (adduction) (separation)
- Restorative material › fractured (dental)
Excludes1 — never code together — inherited from K08.5
The conditions below can never be reported together with K08.539 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)
Excludes1 — never code together — inherited from K08.53
The conditions below can never be reported together with K08.539 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K08.539, but a patient may have both at the same time. When documentation supports it, K08.539 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 K08.539, but a patient may have both at the same time. When documentation supports it, K08.539 and the excluded code may both be reported.
Excludes2 — not included here — inherited from K08.5
The conditions below are not part of K08.539, but a patient may have both at the same time. When documentation supports it, K08.539 and the excluded code may both be reported.
How long has K08.539 existed?
K08.539 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.