2026 ICD-10-CM Diagnosis Code K02.52Dental caries on pit and fissure surface penetrating into dentin
ICD-10-CM Codes›K00–K95›K00-K14›K02
- Billable — Valid for Submission
- Not Chronic
K02.52 is a billable ICD-10-CM diagnosis code for dental caries on pit and fissure surface penetrating into dentin. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 157 through 159. Coders also document this condition as cervical caries. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; Caries, periodontitis, and other preventable dental conditions; and Disorders of teeth and gingiva.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cervical caries
- Dental caries on pit and fissure surface penetrating into dentin
- Primary dental caries, cervical origin
- Primary dental caries, pit and fissure origin
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Primary dental caries, cervical origin
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp) - K02.9
- penetrating into dentin - K02.52
- penetrating into dentin - K02.52
- penetrating into dentin - K02.52
- penetrating into dentin - K02.52
- primary, cervical origin - K02.52
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp)
- chewing surface
- penetrating into dentin
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp)
- coronal surface
- chewing surface
- penetrating into dentin
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp)
- coronal surface
- pit and fissure surface
- penetrating into dentin
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp)
- pit and fissure surface
- penetrating into dentin
- Caries
- dental (dentino enamel junction) (early childhood) (of dentine) (pre-eruptive) (recurrent) (to the pulp)
- primary, cervical origin
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Tooth Decay
Tooth decay is damage to a tooth's surface, or enamel. It happens when bacteria in your mouth make acids that attack the enamel. Tooth decay can lead to cavities (dental caries), which are holes in your teeth. If tooth decay is not treated, it can cause pain, infection, and even tooth loss.
The full article covers:
- What is tooth decay?
- What causes tooth decay?
- Who is at risk for tooth decay?
- What are the symptoms of tooth decay and cavities?
- How are tooth decay and cavities diagnosed?
- What are the treatments for tooth decay and cavities?
- Can tooth decay be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K02.52 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About K02.52Overview
Is K02.52 (Dental caries on pit and fissure surface) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report dental caries on pit and fissure surface penetrating into dentin on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does K02.52 group to?
When dental caries on pit and fissure surface penetrating into dentin is the principal diagnosis on an inpatient stay, it groups to MS-DRG 157, 158, 159, with relative weights from 0.7085 to 1.7168 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of K02.52?
Under the General Equivalence Mappings, dental caries on pit and fissure surface penetrating into dentin converts to ICD-9-CM 521.06 (dentl caries-pit/fissure) and 521.02 (dental caries - dentine). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
