2024 ICD-10-CM Diagnosis Code K08.55

Allergy to existing dental restorative material

ICD-10-CM Code:
K08.55
ICD-10 Code for:
Allergy to existing dental restorative material
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Diseases of the digestive system
    (K00–K95)
    • Diseases of oral cavity and salivary glands
      (K00-K14)
      • Other disorders of teeth and supporting structures
        (K08)

K08.55 is a billable diagnosis code used to specify a medical diagnosis of allergy to existing dental restorative material. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Allergic contact gingivitis caused by acrylic dental material
  • Allergic contact gingivitis caused by nickel
  • Allergic gingival disease
  • Allergic gingival disease
  • Allergic gingivitis
  • Allergic gingivitis
  • Allergy to existing dental restorative material
  • Hypersensitivity gingivitis
  • Hypersensitivity gingivitis
  • Lichenoid allergic contact reaction
  • Lichenoid allergic contact reaction due to amalgam

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Allergic reactionsINJ031N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Any dental condition including traumatic injuryDEN001N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Caries, periodontitis, and other preventable dental conditionsDEN003N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Disorders of teeth and gingivaDIG002Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Nontraumatic dental conditionsDEN002N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify the specific type of allergy

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert K08.55 to ICD-9-CM

  • ICD-9-CM Code: 525.66 - Allergy dental res mat

Patient Education


Allergy

An allergy is a reaction by your immune system to something that does not bother most other people. People who have allergies often are sensitive to more than one thing. Substances that often cause reactions are:

  • Pollen
  • Dust mites
  • Mold spores
  • Pet dander
  • Food
  • Insect stings
  • Medicines

Normally, your immune system fights germs. It is your body's defense system. In most allergic reactions, however, it is responding to a false alarm. Genes and the environment probably both play a role.

Allergies can cause a variety of symptoms such as a runny nose, sneezing, itching, rashes, swelling, or asthma. Allergies can range from minor to severe. Anaphylaxis is a severe reaction that can be life-threatening. Doctors use skin and blood tests to diagnose allergies. Treatments include medicines, allergy shots, and avoiding the substances that cause the reactions.


[Learn More in MedlinePlus]

Tooth Disorders

What are teeth?

Your teeth are made of a hard, bonelike material. There are four parts:

  • Enamel, your tooth's hard surface
  • Dentin, the hard yellow part under the enamel
  • Cementum, the hard tissue that covers the root and keeps your teeth in place
  • Pulp, the soft connective tissue in the center of your tooth. It contains nerves and blood vessels.

You need your teeth for many activities that you may take for granted. These include eating, speaking and even smiling.

What are tooth disorders?

There are many different problems that can affect your teeth, including:

  • Tooth decay - damage to a tooth's surface, which can lead to cavities
  • Abscess - a pocket of pus, caused by a tooth infection
  • Impacted tooth - a tooth did not erupt (break through the gum) when it should have. It is usually wisdom teeth that are impacted, but it can sometimes happen to other teeth.
  • Misaligned teeth (malocclusion)
  • Tooth injuries such as broken or chipped teeth

What causes tooth disorders?

The causes of tooth disorders varies, depending on the problem. Sometimes the cause is not taking good care of your teeth. In other cases, you may have been born with the problem or the cause is an accident.

What are the symptoms of tooth disorders?

The symptoms can vary, depending on the problem. Some of the more common symptoms include:

  • Abnormal color or shape of the tooth
  • Tooth pain
  • Worn-down teeth

How are tooth disorders diagnosed?

Your dentist will ask about your symptoms, look at your teeth, and probe them with dental instruments. In some cases, you may need dental x-rays.

What are the treatments for tooth disorders?

The treatment will depend on the problem. Some common treatments are:

  • Fillings for cavities
  • Root canals for cavities or infections that affect the pulp (inside of the tooth)
  • Extractions (pulling teeth) for teeth that are impacted and causing problems or are too damaged to be fixed. You may also have a tooth or teeth pulled because of overcrowding in your mouth.

Can tooth disorders be prevented?

The main thing that you can do to prevent tooth disorders is to take good care of your teeth:

  • Brush your teeth twice a day with a fluoride toothpaste
  • Clean between your teeth every day with floss or another type of between-the-teeth cleaner
  • Limit sugary snacks and drinks
  • Don't smoke or chew tobacco
  • See your dentist or oral health professional regularly

[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.