2027 ICD-10-CM Diagnosis Code S02.5XXDFracture of tooth (traumatic), subsequent encounter for fracture with routine healing

ICD-10-CM Codes›S00–T88›S00-S09›S02

ICD-10-CM S02.5XXD
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S02.5XXD is a billable ICD-10-CM diagnosis code for fracture of tooth (traumatic), subsequent encounter for fracture with routine healing. The 7th character D means subsequent encounter for fracture with routine healing, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 559 through 561. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Any dental condition including traumatic injury; and Fracture of head and neck, subsequent encounter.

Code Identity

ICD-10-CM Code
S02.5XXD
Billable Status
Yes — Valid for Submission
Code Describes
Fracture of tooth (traumatic), subsequent encounter for fracture with routine healing
Short Description
Fracture of tooth (traumatic), subs for fx w routn heal
Parent Code
S02.5
Fracture of tooth (traumatic)

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS00-S09Injuries to the head
CategoryS02Fracture of skull and facial bones
This CodeS02.5XXDFracture of tooth (traumatic), subsequent encounter for fracture with routine healing

Present on Admission (POA)Billing

S02.5XXD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the head (S00-S09).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Complicated tooth crown and root fracture
  • Enamel and dentine fracture
  • Exposure of tooth pulp
  • Formation of alveolar bone and connective tissue at site of fracture of root of tooth
  • Formation of connective tissue at site of fracture of root of tooth
  • Formation of granulation tissue at site of fracture of root of tooth
  • Formation of hard tissue at site of fracture of root of tooth
  • Fracture of crown and root of immature permanent tooth following root canal treatment
  • Fracture of crown and root of tooth
  • Fracture of crown of immature permanent tooth following root canal treatment
  • Fracture of crown of tooth, enamel and dentin, with pulp exposure
  • Fracture of crown of tooth, enamel and dentin, without pulp exposure
  • Fracture of crown of tooth, enamel only
  • Fracture of cusp of tooth during masticatory loading
  • Fracture of dental root
  • Fracture of fissure of tooth
  • Fracture of migrated tooth
  • Fracture of root of immature permanent tooth following root canal treatment
  • Fracture of root of tooth at bifurcation
  • Fracture of teeth
  • Fracture of tooth
  • Horizontal fracture of apical third of root of tooth
  • Horizontal fracture of cervical third of root of tooth
  • Horizontal fracture of middle third of root of tooth
  • Horizontal fracture of tooth
  • Incomplete fracture of tooth
  • Insufficient clinical crown height due to fracture
  • Multiple root fractures
  • Open fracture of tooth
  • Periodontitis due to fracture of root of tooth
  • Tooth crown fracture
  • Uncomplicated tooth crown and root fracture
  • Uncomplicated tooth crown fracture
  • Vertical fracture of root of tooth
  • Vertical fracture of tooth extending into pulp of tooth
  • Vertical fracture of tooth without pulp involvement

Coding GuidelinesGuidance

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to 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) while 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).

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).

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S02.5XXD: its own notes plus those printed at S02.5, S02, block S00-S09, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Block S00-S09 Injuries to the head applies to 1,934 codes
  • injuries of ear
  • injuries of eye
  • injuries of face [any part]
  • injuries of gum
  • injuries of jaw
  • injuries of oral cavity
  • injuries of palate
  • injuries of periocular area
  • injuries of scalp
  • injuries of temporomandibular joint area
  • injuries of tongue
  • injuries of tooth

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From S02.5 Fracture of tooth (traumatic) applies to 6 codes
  • cracked tooth (nontraumatic) (K03.81)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block S00-S09 Injuries to the head applies to 1,934 codes
  • 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)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From S02 Fracture of skull and facial bones applies to 456 codes
  • any associated intracranial injury (S06.-)
From Block S00-S09 Injuries to the head applies to 1,934 codes
  • for any associated infection

Notes

General instructions on how these codes are used.

From S02 Fracture of skull and facial bones applies to 456 codes
  • A fracture not indicated as open or closed should be coded to closed
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S02 Fracture of skull and facial bones applies to 456 codes
  • The appropriate 7th character is to be added to each code from category S02
Values for category S02 Skull, Spine and Pelvis Fracture Encounter
  • Ainitial encounter for closed fracture
  • Binitial encounter for open fracture
  • Dsubsequent encounter for fracture with routine healing this code
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S02.5XXD, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming S02.5XXD: they are not reported together with it, unless the two conditions are unrelated.

  • K03.81 Cracked tooth
    broken or fractured tooth due to trauma (S02.5) names S02.5, which includes this code
  • K08.53 Fractured dental restorative material
    traumatic fracture of tooth (S02.5) names S02.5, which includes this code
  • S01 Open wound of head
    open skull fracture (S02.- with 7th character B) names S02.-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming S02.5XXD: its condition is not part of those codes, and both may be reported when the patient has both.

  • M27.63 Post-osseointegration mechanical failure of dental implant
    fractured tooth (S02.5) names S02.5, which includes this code
  • S01.5 Open wound of lip and oral cavity
    tooth fracture (S02.5) names S02.5, which includes this code

Code First 1

These codes say to code first a condition named in the note, and S02.5XXD is one of the conditions named.

  • R40.2 Coma
    fracture of skull (S02.-) names S02.-, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and S02.5XXD is one of the codes named.

  • S07 Crushing injury of head
    skull fractures (S02.-) names S02.-, which includes this code

Code Also 2

These codes say S02.5XXD may also be needed to fully describe the condition. The note gives no sequencing direction.

  • S04 Injury of cranial nerve
    skull fracture (S02.-) names S02.-, which includes this code
  • S06 Intracranial injury
    skull fracture (S02.-) names S02.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DEN001
Any dental condition including traumatic injury
Default principal diagnosis: inpatient No · outpatient No
CCSR INJ038
Fracture of head and neck, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Tooth Fracture

    broken tooth affecting any portion of tooth: root fracture, crown-root, broken tooth (crown fracture), chipped tooth. a crown fracture can involve the pulp. tooth fracture sequelae range in severity from cosmetic defects to tooth death. involvement of the pulp is a more important indicator of severity of tooth fracture than is the amount of the tooth affected.

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S02.5XXD to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V54.19 Aftrce traum fx bone NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S02.5XXDOverview

Is S02.5XXD (Fracture of tooth (traumatic)) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fracture of tooth (traumatic), subsequent encounter for fracture with routine healing on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S02.5XXD mean?

The final character D marks a subsequent encounter: use it for routine care while the fracture of tooth (traumatic) is healing, after active treatment has ended. In this category the CMS Tabular List defines D as "subsequent encounter for fracture with routine healing".

What MS-DRG does S02.5XXD group to?

When fracture of tooth (traumatic), subsequent encounter for fracture with routine healing is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 561, 560, with relative weights from 0.8258 to 1.8087 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S02.5XXD exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for fracture of tooth (traumatic), subsequent encounter for fracture with routine healing on inpatient claims. The code appears in the Injuries to the head (S00-S09) range of the CMS exempt list.

Can S02.5XXD be reported with K03.81?

Not as a rule. The Excludes1 note at S02.5, which applies to S02.5XXD, lists "cracked tooth (nontraumatic) (K03.81)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).