K03.81 — Cracked tooth
Is K03.81 billable?
Yes — K03.81 is billable for FY2027. K03.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. K03.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.
K03.81 at a glance
| Code | K03.81 |
|---|---|
| Description | Cracked tooth |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does K03.81 group to?
K03.81 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
How is K03.81 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to K03.81. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cracked tooth
Excludes1 — never code together
The conditions below can never be reported together with K03.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- asymptomatic craze lines in enamel - omit code
- broken or fractured tooth due to trauma (S02.5)
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K03.81, but a patient may have both at the same time. When documentation supports it, K03.81 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from K03
The conditions below are not part of K03.81, but a patient may have both at the same time. When documentation supports it, K03.81 and the excluded code may both be reported.
How long has K03.81 existed?
K03.81 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.