ICD-10-CM Code S02.5XXS
Fracture of tooth (traumatic), sequela
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.S02.5XXS is a billable ICD code used to specify a diagnosis of fracture of tooth (traumatic), sequela. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
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 |
MS-DRG Mapping
- DRG Group #091-093 - Other disorders of nervous system with MCC.
- DRG Group #091-093 - Other disorders of nervous system with CC.
- DRG Group #091-093 - Other disorders of nervous system without CC or MCC.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S02.5XXS and a single ICD9 code, 905.0 is an approximate match for comparison and conversion purposes.
Parent Code: S02.5 - Fracture of tooth (traumatic)