S02.5XXB — Fracture of tooth (traumatic), initial encounter for open fracture
Is S02.5XXB billable?
Yes — S02.5XXB is billable for FY2027. S02.5XXB is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S02.5XXB may be submitted for encounters from October 1, 2026 through September 30, 2027.
S02.5XXB at a glance
| Code | S02.5XXB |
|---|---|
| Description | Fracture of tooth (traumatic), initial encounter for open fracture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "B" | initial encounter for open fracture |
What does the 7th character "B" mean in S02.5XXB?
In S02.5XXB, the 7th character B means initial encounter for open fracture. The 7th character is required for S02.5XXB to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S02.5XXB group to?
S02.5XXB sits in MDC 03 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.
- 157Dental and Oral Diseases with MCCmedical
- 158Dental and Oral Diseases with CCmedical
- 159Dental and Oral Diseases without CC/MCCmedical
How is S02.5XXB listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S02.5, the nearest indexed parent of S02.5XXB. Use them to find the family, then select the specific code.
- Fracture, traumatic › tooth (abduction) (adduction) (separation)
Excludes1 — never code together
The conditions below can never be reported together with S02.5XXB 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 S02.5XXB.
- Broken tooth
Excludes1 — never code together — inherited from S02.5
The conditions below can never be reported together with S02.5XXB 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)
Use additional code — inherited from Chapter 19
Report an additional code alongside S02.5XXB to fully describe the condition. S02.5XXB 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 S02.5XXB, but a patient may have both at the same time. When documentation supports it, S02.5XXB and the excluded code may both be reported.
Excludes2 — not included here — inherited from S00-S09
The conditions below are not part of S02.5XXB, but a patient may have both at the same time. When documentation supports it, S02.5XXB 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 S02.5XXB 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 S02.5XXB is sequenced first depends on the reason for the encounter.
- any associated intracranial injury (S06.-)
How long has S02.5XXB existed?
S02.5XXB 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.