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K08.531

Billable

Fractured dental restorative material with loss of material

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

What This Code Means

A dental filling or crown has cracked or broken with pieces of the restoration material missing from the tooth.

Coding Tips

  • Confirm that material loss has actually occurred to differentiate from K08.530
  • Document the extent of material loss and the affected tooth surface

Code Hierarchy

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