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ICD-10-CM Code S02.5
Fracture of tooth (traumatic)

Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S02.5 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'fracture of tooth (traumatic)' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

7th Digit Billable Code 7th Digit Specifies
A S02.5XXA initial encounter
B S02.5XXB initial encounter for open fracture
D S02.5XXD subsequent encounter
G S02.5XXG subsequent encounter for fracture with delayed healing
K S02.5XXK subsequent encounter for fracture with nonunion
S S02.5XXS sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

The ICD code S025 is used to code Vertical root fracture

Vertical root fractures are a type of fracture of a tooth. They can be characterized by an incomplete or complete fracture line that extends through the long axis of the root toward the apex. Vertical root fractures are between 2 and 5 percent of crown/root fractures. The greatest incidence occurs in endodontically treated teeth and in patients older than 40 years of age.

Specialty: Emergency Medicine
MeSH Codes: , ,
ICD 9 Codes: 521.81, 873.63, 873.73
Source: Wikipedia

Coding Notes for S02.5 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Broken tooth
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Cracked tooth (nontraumatic) - instead, use code K03.81

Related Concepts SNOMET-CT

  • Broken teeth injury without complication (disorder)

Coding Advice SNOMET-CT

  • Possible requirement for an external cause code
  • Episode of care information needed
  • Consider additional code to identify specific condition or disease

ICD-10-CM Alphabetical Index References for 'S02.5 - Fracture of tooth (traumatic)'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S02.5. Click on any term below to browse the alphabetical index.

Parent Code: S02 - Fracture of skull and facial bones

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S025