S02.5

S02.5: Fracture of tooth (traumatic)

Non-billable headerICD-10-CM

S02.5 is a non-billable header ICD-10-CM code for fracture of tooth (traumatic). It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S02

A: initial encounter for closed fracture
B: initial encounter for open fracture
D: subsequent encounter for fracture with routine healing
G: subsequent encounter for fracture with delayed healing
K: subsequent encounter for fracture with nonunion
S: sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

cracked tooth (nontraumatic) (K03.81)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Broken tooth

Other codes that can never be billed with S02.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

K03.81Cracked tooth
K08.53Fractured dental restorative material
S01Open wound of head

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Fracture, traumatic›tooth(root)

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S02.5

6 child codes. Green means billable.