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K08.50

Billable

Unsatisfactory restoration of tooth, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A dental restoration (filling, crown, or other repair) that is not functioning properly or is inadequate, with the specific tooth location not specified.

Coding Tips

  • Document which tooth is affected and the type of restoration (filling, crown, bridge, etc.) when possible for specificity
  • This code indicates the restoration itself is problematic, not the underlying tooth condition

Code Hierarchy

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