ICD-10-CM Codes
S00-T88 Injury, poisoning and certain other consequences of external causes
S00-S09 Injuries to the head
S02- Fracture of skull and facial bones
2021 ICD-10-CM Diagnosis Code S02.5

2021 ICD-10-CM Diagnosis Code S02.5

Fracture of tooth (traumatic)

2016

2017

2018

2019

2020

2021

Non-Billable/Non-Specific Code

S02.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2021 edition of ICD-10-CM S02.5 became effective on October 1, 2020.
This is the American ICD-10-CM version of S02.5 - other international versions of ICD-10 S02.5 may differ.

Applicable To

Broken tooth

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as S02.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

cracked tooth (nontraumatic) (
ICD-10-CM Diagnosis Code K03.81
Cracked tooth
Type 1 Excludes
- asymptomatic craze lines in enamel - omit code
- broken or fractured tooth due to trauma (S02.5)
K03.81
)

The following code(s) above S02.5 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to S02.5:

S00-T88
2021 ICD-10-CM Range S00-T88
Injury, poisoning and certain other consequences of external causes
Note
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
Type 1 Excludes
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Use Additional
- code to identify any retained foreign body, if applicable (Z18.-)
Injury, poisoning and certain other consequences of external causes
S00-S09
2021 ICD-10-CM Range S00-S09
Injuries to the head
Code Also
- for any associated infection
Includes
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Type 2 Excludes
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Injuries to the head
S02
ICD-10-CM Diagnosis Code S02
Fracture of skull and facial bones
Code Also
- any associated intracranial injury (S06.-)
Note
- A fracture not indicated as open or closed should be coded to closed
Fracture of skull and facial bones

Clinical Information

Break or rupture of a tooth or tooth root.
Broken tooth affecting any portion of tooth: root fracture, crown-root, broken tooth (crown fracture), chipped tooth. A crown fracture can involve the pulp. Tooth fracture sequelae range in severity from cosmetic defects to tooth death. Involvement of the pulp is a more important indicator of severity of tooth fracture than is the amount of the tooth affected.

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change

Code annotations containing back-references to S02.5:

Type 1 Excludes: K03.81
, K08.53

ICD-10-CM Diagnosis Code K03.81
Cracked tooth
Type 1 Excludes
- asymptomatic craze lines in enamel - omit code
- broken or fractured tooth due to trauma (S02.5)
ICD-10-CM Diagnosis Code K08.53
Fractured dental restorative material
Type 1 Excludes
- cracked tooth (K03.81)
- traumatic fracture of tooth (S02.5)
Type 2 Excludes: S01.5
, M27.63

ICD-10-CM Diagnosis Code S01.5
Open wound of lip and oral cavity
Type 2 Excludes
- tooth dislocation (S03.2)
- tooth fracture (S02.5)
ICD-10-CM Diagnosis Code M27.63
Post-osseointegration mechanical failure of dental implant
Applicable To
- Failure of dental prosthesis causing loss of dental implant
- Fracture of dental implant
Type 2 Excludes
- cracked tooth (K03.81)
- fractured dental restorative material with loss of material (K08.531)
- fractured dental restorative material without loss of material (K08.530)
- fractured tooth (S02.5)

Diagnosis Index entries containing back-references to S02.5:

Fracture, traumatic (abduction) (adduction) (separation) T14.8
- see also Fracture, pathological
ICD-10-CM Diagnosis Code T14.8
Other injury of unspecified body region
Applicable To
Abrasion NOS
Contusion NOS
Crush injury NOS
Fracture NOS
Skin injury NOS
Vascular injury NOS
Wound NOS
- tooth S02.5 (root)

ICD-10-CM Codes Adjacent To S02.5

S02.413G …… subsequent encounter for fracture with delayed healing

S02.413K …… subsequent encounter for fracture with nonunion

S02.413S …… sequela

S02.42 Fracture of alveolus of maxilla

S02.42XA …… initial encounter for closed fracture

S02.42XB …… initial encounter for open fracture

S02.42XD …… subsequent encounter for fracture with routine healing

S02.42XG …… subsequent encounter for fracture with delayed healing

S02.42XK …… subsequent encounter for fracture with nonunion

S02.42XS …… sequela

S02.5 Fracture of tooth (traumatic)

S02.5XXA …… initial encounter for closed fracture

S02.5XXB …… initial encounter for open fracture

S02.5XXD …… subsequent encounter for fracture with routine healing

S02.5XXG …… subsequent encounter for fracture with delayed healing

S02.5XXK …… subsequent encounter for fracture with nonunion

S02.5XXS …… sequela

S02.6 Fracture of mandible

S02.60 Fracture of mandible, unspecified

S02.600 Fracture of unspecified part of body of mandible, unspecified side

S02.600A …… initial encounter for closed fracture

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2021 ICD-10-CM Diagnosis Code S02.5

Fracture of tooth (traumatic)

Cracked tooth

Injury, poisoning and certain other consequences of external causes

Injuries to the head

Fracture of skull and facial bones

Cracked tooth

Fractured dental restorative material

Open wound of lip and oral cavity

Post-osseointegration mechanical failure of dental implant

Other injury of unspecified body region