Cracked tooth
ICD-10 K03.81 is a billable code used to indicate a diagnosis of cracked tooth.
Cracked tooth syndrome is characterized by a fracture in the tooth structure that can lead to pain, sensitivity, and potential pulpitis. Clinically, patients may present with intermittent pain that worsens with chewing or temperature changes. The anatomy involved typically includes the enamel, dentin, and potentially the pulp, depending on the severity of the crack. Disease progression can lead to complications such as pulp necrosis or abscess formation if left untreated. Diagnostic considerations include clinical examination, patient history, and imaging studies such as periapical radiographs or cone beam computed tomography (CBCT) to assess the extent of the fracture. The condition is often underdiagnosed due to its subtle symptoms and may require differential diagnosis from other dental issues like caries or periodontal disease. Early identification and treatment are crucial to prevent further complications and preserve tooth structure.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K03.81 specifically covers cracked tooth syndrome, which includes fractures that do not extend into the pulp but may cause pain and sensitivity. It is important to differentiate it from other dental conditions such as fractures that involve the pulp or other dental diseases.
K03.81 should be used when a patient presents with symptoms indicative of a cracked tooth without pulp involvement. If the fracture extends into the pulp or leads to pulpitis, other codes such as K04.7 (Pulpitis) may be more appropriate.
Documentation should include a detailed clinical examination, patient-reported symptoms, imaging results, and treatment plans. Notes should clearly indicate the diagnosis of a cracked tooth and any relevant findings from diagnostic tests.
