Complete ICD-10-CM coding and documentation guide for icd-10 coding for fractured teeth includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Fractured Teeth
Use ICD-10 code S02.5XXA for fracture of tooth (traumatic), initial encounter for closed fracture, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Pulpitis
Use if there is pulp involvement in the fracture.
Use S02.5XXA if caused by biting hard food (traumatic), but K03.81 if due to pre-existing weakness.
K03.81 is used for non-traumatic cracks detected during exams, such as a crack found on a tooth with a large amalgam.
Document as 'Fracture of #9 (S02.5XXA) with pulpal necrosis; RCT (D3310) performed due to irreversible pulpitis (K04.0)'.