Not Valid for Submission
S02.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of tooth (traumatic). The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.
A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Initial vs. Subsequent Encounter for Fractures
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.
Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).
Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
Specific Coding for Fracture of tooth (traumatic)
Non-specific codes like S02.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of tooth (traumatic):
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S02.5:
Inclusion TermsInclusion Terms
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.
- Broken tooth
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- cracked tooth nontraumatic K03.81
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S02.5 are found in the index:
- - Fracture, traumatic (abduction) (adduction) (separation) - See Also: Fracture, pathological; - T14.8
- - tooth (root) - S02.5
Information for Patients
Also called: Broken bone
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
Symptoms of a fracture are
- Intense pain
- Deformity - the limb looks out of place
- Swelling, bruising, or tenderness around the injury
- Numbness and tingling
- Problems moving a limb
You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.
- Broken bone (Medical Encyclopedia)
- Closed reduction of a fractured bone (Medical Encyclopedia)
- Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)
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What are teeth?
Your teeth are made of a hard, bonelike material. There are four parts:
- Enamel, your tooth's hard surface
- Dentin, the hard yellow part under the enamel
- Cementum, the hard tissue that covers the root and keeps your teeth in place
- Pulp, the soft connective tissue in the center of your tooth. It contains nerves and blood vessels.
You need your teeth for many activities that you may take for granted. These include eating, speaking and even smiling.
What are tooth disorders?
There are many different problems that can affect your teeth, including
- Tooth decay - damage to a tooth's surface, which can lead to cavities
- Abscess - a pocket of pus, caused by a tooth infection
- Impacted tooth - a tooth did not erupt (break through the gum) when it should have. It is usually wisdom teeth that are impacted, but it can sometimes happen to other teeth.
- Misaligned teeth (malocclusion)
- Tooth injuries such as broken or chipped teeth
What causes tooth disorders?
The causes of tooth disorders varies, depending on the problem. Sometimes the cause is not taking good care of your teeth. In other cases, you may have been born with the problem or the cause is an accident.
What are the symptoms of tooth disorders?
The symptoms can vary, depending on the problem. Some of the more common symptoms include
- Abnormal color or shape of the tooth
- Tooth pain
- Worn-down teeth
How are tooth disorders diagnosed?
Your dentist will ask about your symptoms, look at your teeth, and probe them with dental instruments. In some cases, you may need dental x-rays.
What are the treatments for tooth disorders?
The treatment will depend on the problem. Some common treatments are
- Fillings for cavities
- Root canals for cavities or infections that affect the pulp (inside of the tooth)
- Extractions (pulling teeth) for teeth that are impacted and causing problems or are too damaged to be fixed. You may also have a tooth or teeth pulled because of overcrowding in your mouth.
Can tooth disorders be prevented?
The main thing that you can do to prevent tooth disorders is to take good care of your teeth:
- Brush your teeth twice a day with a fluoride toothpaste
- Clean between your teeth every day with floss or another type of between-the-teeth cleaner
- Limit sugary snacks and drinks
- Don't smoke or chew tobacco
- See your dentist or oral health professional regularly
- Amelogenesis imperfecta (Medical Encyclopedia)
- Broken or knocked out tooth (Medical Encyclopedia)
- Bruxism (Medical Encyclopedia)
- Dental crowns (Medical Encyclopedia)
- Impacted tooth (Medical Encyclopedia)
- Root canal (Medical Encyclopedia)
- Tooth - abnormal colors (Medical Encyclopedia)
- Tooth abscess (Medical Encyclopedia)
- Toothaches (Medical Encyclopedia)
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