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Home/Diagnosis/ICD-10 Coding for Broken Tooth

ICD-10 Coding for Broken Tooth

S02.5XXA
S02.5XXB

Complete ICD-10-CM coding and documentation guide for icd-10 coding for broken tooth includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tooth Fracture
Dental Fracture
Cracked Tooth
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Key Information: ICD-10 Coding for Broken Tooth

Essential facts and insights about ICD-10 Coding for Broken Tooth

Use ICD-10 code S02.5XXA for fracture of tooth (traumatic), initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of tooth (traumatic), initial encounter

Billable Code
S02.5XXA
Billable

Diagnostic Criteria

  • • Presence of a traumatic event leading to the fracture

Applicable To

  • • Initial encounter for closed traumatic fracture

Important Notes

  • • Ensure trauma mechanism is documented.

Fracture of tooth (traumatic), initial encounter, open

Billable Code
S02.5XXB
Billable

Applicable To

  • • Initial encounter for open traumatic fracture

Important Notes

  • • Ensure open fracture details are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

D2740

Crown - porcelain/ceramic

Use when a crown is placed as a definitive treatment for the fracture.

D7140

Extraction, erupted tooth or exposed root

Use if the tooth requires extraction due to the fracture.

Frequently Asked Questions

What is the ICD-10 code for a broken tooth?

The ICD-10 code for a traumatic broken tooth is S02.5XXA for initial encounters. Ensure to document the trauma mechanism and tooth number.

How do you code a non-traumatic cracked tooth?

Use ICD-10 code K03.81 for non-traumatic cracked tooth syndrome, often due to habits like bruxism.

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