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K08.539

Billable

Fractured dental restorative material, unspecified

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 fractured, but it is unclear whether material has been lost or remains intact.

Coding Tips

  • Use this code only when the documentation does not specify whether material loss occurred
  • Query the provider if more specific information about material loss is available

Code Hierarchy

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