K03.81
K03.81: Cracked tooth
Billable / specific codeICD-10-CM
K03.81 is a billable, specific ICD-10-CM code for cracked tooth. It is valid for submission on a claim.
Check K03.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- asymptomatic craze lines in enamel - omit code
- broken or fractured tooth due to trauma (S02.5)
Other codes that can never be billed with K03.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K08.53Fractured dental restorative material
- S02.5Fracture of tooth (traumatic)
- S02.5XXAFracture of tooth (traumatic), initial encounter for closed fracture
- S02.5XXBFracture of tooth (traumatic), initial encounter for open fracture
- S02.5XXDFracture of tooth (traumatic), subsequent encounter for fracture with routine healing
- S02.5XXGFracture of tooth (traumatic), subsequent encounter for fracture with delayed healing
- S02.5XXKFracture of tooth (traumatic), subsequent encounter for fracture with nonunion
- S02.5XXSFracture of tooth (traumatic), sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Cracked tooth
Code history
Unchanged in every release from FY2024 to FY2027.