InnovaRx Innova Health Strategies

K08.539

Fractured dental restorative material, unspecified

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 2 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 13 never code together
K08.5code
Excludes1
  • dental restoration status (Z98.811)Z98.811
Excludes2
  • endosseous dental implant failure (M27.6-)M27.6-
  • unsatisfactory endodontic treatment (M27.5-)M27.5-
K08code
Excludes2
  • dentofacial anomalies [including malocclusion] (M26.-)M26.-
  • disorders of jaw (M27.-)M27.-
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 2
K08.5code
Inclusion terms
  • Defective bridge, crown, filling
  • Defective dental restoration
Index entries leading here 3
  • Fracture, pathological (pathologic) — see also Fracture, traumatic M84.40
    • dental restorative material K08.539
    • restorative material (dental) K08.539
  • Fracture, traumatic (abduction) (adduction) (separation) T14.8
    • dental restorative material K08.539
    • restorative material (dental) K08.539
  • Restorative material (dental)
Alongside this code 2 same parent — K08.53
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
K08.53
Block
K00-K14
Siblings
2

Present FY2024–FY2027.