Is Z98.811 a billable ICD-10-CM code?

Yes. Z98.811 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z98.811 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z98.811

Z98.811 — Dental restoration status

Billable / specific codeICD-10-CMPOA exempt

Z98.811 is a billable, specific ICD-10-CM code for dental restoration status. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Dental crown status
Dental fillings status

Other codes that can never be billed with Z98.811

These codes carry an Excludes1 note pointing at Z98.811. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z98.811 alone.

K08.5Unsatisfactory restoration of tooth

Risk adjustment

Z98.811 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z98.811 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z98.811.

Status›dental›crown
Status›dental›fillings
Status›dental›restoration
Status›postoperative NEC›dental›crown
Status›postoperative NEC›dental›fillings
Status›postoperative NEC›dental›restoration

Related codes at this level

Codes that share Z98.81. If Z98.811 is not quite right, the correct code is usually one of these.

Questions about Z98.811

Is Z98.811 a billable ICD-10-CM code?: Yes. Z98.811 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z98.811 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).