S02.5 — Fracture of tooth (traumatic)
Is S02.5 billable?
No — S02.5 is a non-billable header code. S02.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 6 billable codes beneath S02.5.
Billable codes under this header
- 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
S02.5 at a glance
| Code | S02.5 |
|---|---|
| Description | Fracture of tooth (traumatic) |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S02.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S02.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › tooth (abduction) (adduction) (separation)
Excludes1 — never code together
The conditions below can never be reported together with S02.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- cracked tooth (nontraumatic) (K03.81)
Inclusion terms
Alternative wording in documentation that is classified to S02.5.
- Broken tooth
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.5 to fully describe the condition. S02.5 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S02.5, but a patient may have both at the same time. When documentation supports it, S02.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.5, but a patient may have both at the same time. When documentation supports it, S02.5 and the excluded code may both be reported.
- 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)
Code also — inherited from S00-S09
Two codes may be needed to describe the condition fully. Whether S02.5 is sequenced first depends on the reason for the encounter.
- for any associated infection
Code also — inherited from S02
Two codes may be needed to describe the condition fully. Whether S02.5 is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
What codes fall under S02.5? (6)
- 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
How long has S02.5 existed?
S02.5 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.
Which conditions are coded to S02.5?
What other codes are in the S02 family? (8)
- S02.0Fracture of vault of skullnot billable
- S02.1Fracture of base of skullnot billable
- S02.2Fracture of nasal bonesnot billable
- S02.3Fracture of orbital floornot billable
- S02.4Fracture of malar, maxillary and zygoma bonesnot billable
- S02.6Fracture of mandiblenot billable
- S02.8Fractures of other specified skull and facial bonesnot billable
- S02.9Fracture of unspecified skull and facial bonesnot billable