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Home/Diagnosis/ICD-10 Coding for Tooth Fracture

ICD-10 Coding for Tooth Fracture

S02.5XXA
S02.5XXD

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

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

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

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

clinical:
  • • Presence of a traumatic event leading to tooth fracture
coding:
  • • Use 7th character 'A' for initial encounter

Applicable To

  • • Traumatic tooth fracture

Important Notes

  • • Ensure the 7th character reflects the encounter type.

Fracture of tooth (traumatic), subsequent encounter

Billable Code
S02.5XXD
Billable

Diagnostic Criteria

clinical:
  • • Documented healing process
  • • Follow-up visit notes

Applicable To

  • • Follow-up for tooth fracture

Important Notes

  • • Ensure the 7th character reflects the encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

D0364

CBCT for fracture extent evaluation

Use when CBCT is performed to evaluate the extent of the fracture.

Frequently Asked Questions

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

The ICD-10 code for a traumatic tooth fracture is S02.5XXA for initial encounters and S02.5XXD for subsequent encounters.

How do you document a tooth fracture?

Document the traumatic mechanism, fracture type, tooth involved, and treatment plan. Include imaging results and clinical findings.

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