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K08.56

Billable

Poor aesthetic of existing restoration of tooth

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

What This Code Means

An existing dental restoration does not look natural or aesthetically pleasing, affecting the patient's appearance or smile.

Coding Tips

  • •Document the specific aesthetic concern (e.g., color mismatch, visible margins, shape irregularity)
  • •Ensure the issue is purely aesthetic rather than functional or health-related

Code Hierarchy

└K08Other disorders of teeth and supporting structures└K08.5Unsatisfactory restoration of tooth└K08.56Poor aesthetic of existing restoration of tooth
└K08.56Poor aesthetic of existing restoration of tooth

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