2020 ICD-10-CM Diagnosis Code K03.81

Cracked tooth

    2016 2017 2018 2019 2020 Billable/Specific Code
  • K03.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM K03.81 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K03.81 - other international versions of ICD-10 K03.81 may differ.
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 K03.81. 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.
  • asymptomatic craze lines in enamel - omit code
  • broken or fractured tooth due to trauma (
    ICD-10-CM Diagnosis Code S02.5

    Fracture of tooth (traumatic)

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Broken tooth
    Type 1 Excludes
    • cracked tooth (nontraumatic) (K03.81)
    S02.5
    )
The following code(s) above K03.81 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 K03.81:
  • K00-K95
    2020 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K03
    ICD-10-CM Diagnosis Code K03

    Other diseases of hard tissues of teeth

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Other diseases of hard tissues of teeth
Clinical Information
  • Incomplete fracture of any part of a tooth, characterized by pain during mastication and sensitivity to heat, cold, sweet or sour tastes, and alcohol; it is often undiagnosed because the tooth is usually x-ray negative and normal to pulp vitality tests.
ICD-10-CM K03.81 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 157 Dental and oral diseases with mcc
  • 158 Dental and oral diseases with cc
  • 159 Dental and oral diseases without cc/mcc

Convert K03.81 to ICD-9-CM

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
Code annotations containing back-references to K03.81:
  • Type 1 Excludes: S02.5
    , K08.53
    ICD-10-CM Diagnosis Code S02.5

    Fracture of tooth (traumatic)

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Broken tooth
    Type 1 Excludes
    • cracked tooth (nontraumatic) (K03.81)
    ICD-10-CM Diagnosis Code K08.53

    Fractured dental restorative material

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cracked tooth (K03.81)
    • traumatic fracture of tooth (S02.5)
  • Type 2 Excludes: M27.63
    ICD-10-CM Diagnosis Code M27.63

    Post-osseointegration mechanical failure of dental implant

      2016 2017 2018 2019 2020 Billable/Specific Code
    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 K03.81:
  • Cracked tooth K03.81

ICD-10-CM Codes Adjacent To K03.81
K03 Other diseases of hard tissues of teeth
K03.0 Excessive attrition of teeth
K03.1 Abrasion of teeth
K03.2 Erosion of teeth
K03.3 Pathological resorption of teeth
K03.4 Hypercementosis
K03.5 Ankylosis of teeth
K03.6 Deposits [accretions] on teeth
K03.7 Posteruptive color changes of dental hard tissues
K03.8 Other specified diseases of hard tissues of teeth
K03.81 Cracked tooth
K03.89 Other specified diseases of hard tissues of teeth
K03.9 Disease of hard tissues of teeth, unspecified
K04 Diseases of pulp and periapical tissues
K04.0 Pulpitis
K04.01 Reversible pulpitis
K04.02 Irreversible pulpitis
K04.1 Necrosis of pulp
K04.2 Pulp degeneration
K04.3 Abnormal hard tissue formation in pulp
K04.4 Acute apical periodontitis of pulpal origin

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