K03.81 vs K08.53
K03.81 (Cracked tooth) compared with K08.53 (Fractured dental restorative material), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. K08.53 carries an Excludes1 note covering K03.81: “cracked tooth (K03.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| K03.81Cracked tooth | K08.53Fractured dental restorative material | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | K00-K95 — Diseases of the Digestive System (K00-K95) | K00-K95 — Diseases of the Digestive System (K00-K95) |
| Definition | Cracked tooth is a billable ICD-10-CM diagnosis code (K03.81). | Fractured dental restorative material is a non-billable ICD-10-CM category code (K08.53). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources