2026 ICD-10-CM Diagnosis Code K08.56Poor aesthetic of existing restoration of tooth

ICD-10-CM Codes›K00–K95›K00-K14›K08

ICD-10-CM K08.56
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K08.56 is a billable ICD-10-CM diagnosis code for poor aesthetic of existing restoration of tooth. 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
K08.56
Billable Status
Yes — Valid for Submission
Code Describes
Poor aesthetic of existing restoration of tooth
Short Description
Poor aesthetic of existing restoration of tooth
Same as the full description in the CMS dataset.
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 CodeK08.56Poor aesthetic of existing restoration of tooth

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Appearance of dental bridge - finding
  • Appearance of dental crown - finding
  • Appearance of dental filling - finding
  • Appearance of dental veneer - finding
  • Complete denture not esthetic
  • Dental bridge incorrect shade
  • Dental bridge too dark
  • Dental bridge too light
  • Dental crown incorrect shade
  • Dental crown too dark
  • Dental crown too light
  • Dental filling discolored
  • Dental restoration esthetically inadequate or displeasing
  • Dental veneer incorrect shade
  • Dental veneer too dark
  • Dental veneer too light
  • Denture teeth incorrect shade
  • Denture teeth show too little
  • Denture teeth show too much
  • Denture teeth too big
  • Denture teeth too dark
  • Denture teeth too light
  • Denture teeth too small
  • Denture teeth too wide
  • Removable partial denture not esthetic

Tabular List NotesGuidance

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

Inclusion Terms

  • Dental restoration aesthetically inadequate or displeasing

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
        • aesthetically inadequate or displeasing
    • Inadequate, inadequacy
      • aesthetics of dental restoration
    • Poor
      • aesthetic of existing restoration of tooth
    • Restoration(of)
      • dental
        • aesthetically inadequate or displeasing
    • Restoration(of)
      • tooth (existing)
        • poor aesthetic

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 K08.56 to ICD-9-CMHistory

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

ICD-9-CM
525.67 Poor aesthetics restore
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 K08.56Overview

Is K08.56 (Unsatisfactory restoration of tooth) a billable code?

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

What MS-DRG does K08.56 group to?

When poor aesthetic of existing restoration of tooth 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 K08.56?

Under the General Equivalence Mappings, poor aesthetic of existing restoration of tooth converts to ICD-9-CM 525.67 (poor aesthetics restore). 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.