2026 ICD-10-CM Diagnosis Code K08.54Contour of existing restoration of tooth biologically incompatible with oral health

ICD-10-CM Codes›K00–K95›K00-K14›K08

ICD-10-CM K08.54
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K08.54 is a billable ICD-10-CM diagnosis code for contour of existing restoration of tooth biologically incompatible with oral health. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 157 through 159. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; Caries, periodontitis, and other preventable dental conditions; and Disorders of teeth and gingiva.

Code Identity

ICD-10-CM Code
K08.54
Billable Status
Yes — Valid for Submission
Code Describes
Contour of existing restoration of tooth biologically incompatible with oral health
Short Description
Contour of exist restor of tooth biolog incompat w oral hlth
Parent Code
K08.5
Unsatisfactory restoration of tooth

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK00-K14Diseases of oral cavity and salivary glands
CategoryK08Other disorders of teeth and supporting structures
This CodeK08.54Contour of existing restoration of tooth biologically incompatible with oral health

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Contour of existing restoration of tooth biologically incompatible with oral health
  • Dental restoration failure of anatomical integrity regarding adjacent teeth
  • Dental restoration failure of periodontal anatomical integrity
  • Excessive gingival contour of a tooth restoration
  • Tooth restoration failure

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Dental restoration failure of periodontal anatomical integrity
  • Unacceptable contours of existing restoration of tooth
  • Unacceptable morphology of existing restoration of tooth

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dental
      • restoration
        • failure of periodontal anatomical integrity
    • Restoration(of)
      • dental
        • failure of periodontal anatomical integrity
    • Restoration(of)
      • tooth (existing)
        • contours biologically incompatible with oral health
    • Unacceptable
      • contours of tooth
    • Unacceptable
      • morphology of tooth

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DEN001
Any dental condition including traumatic injury
Default principal diagnosis: inpatient No · outpatient No
CCSR DEN003
Caries, periodontitis, and other preventable dental conditions
Default principal diagnosis: inpatient No · outpatient No
CCSR DIG002
Disorders of teeth and gingiva
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DEN002
Nontraumatic dental conditions
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Tooth Disorders

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

The full article covers:

  • What are teeth?
  • What are tooth disorders?
  • What causes tooth disorders?
  • What are the symptoms of tooth disorders?
  • How are tooth disorders diagnosed?
  • What are the treatments for tooth disorders?
  • Can tooth disorders be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K08.54 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
525.65 Contour restore tooth
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K08.54Overview

Is K08.54 (Unsatisfactory restoration of tooth) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report contour of existing restoration of tooth biologically incompatible with oral health on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K08.54 group to?

When contour of existing restoration of tooth biologically incompatible with oral health is the principal diagnosis on an inpatient stay, it groups to MS-DRG 157, 158, 159, with relative weights from 0.7085 to 1.7168 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K08.54?

Under the General Equivalence Mappings, contour of existing restoration of tooth biologically incompatible with oral health converts to ICD-9-CM 525.65 (contour restore tooth). The mapping is a direct match.

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.