Fracture of tooth (traumatic)
ICD-10 S02.5 is a billable code used to indicate a diagnosis of fracture of tooth (traumatic).
A fracture of a tooth due to trauma can occur from various incidents such as falls, sports injuries, or accidents. The fracture may involve the enamel, dentin, or pulp of the tooth, leading to pain, sensitivity, and potential infection. Clinically, the fracture can be classified as uncomplicated or complicated, depending on whether the pulp is exposed. Diagnosis typically involves a clinical examination and radiographic imaging to assess the extent of the fracture and any associated injuries to surrounding structures. Management may include dental restoration, endodontic treatment, or extraction, depending on the severity of the fracture. Complications can include pulp necrosis, abscess formation, and loss of the tooth if not treated appropriately. Accurate coding is essential for proper reimbursement and tracking of dental trauma cases.
Documentation must include details of the injury mechanism, initial assessment findings, and any immediate interventions performed.
Patients presenting with facial trauma after a fall or sports injury, requiring urgent dental evaluation.
Ensure that the documentation clearly states the nature of the trauma and any associated injuries to avoid misclassification.
Operative reports should detail the surgical approach, findings, and any restorative procedures performed.
Surgical intervention for complicated tooth fractures requiring extraction or reconstruction.
Document any pre-existing conditions that may affect treatment outcomes and coding.
Used when a fractured tooth requires extraction due to severe damage.
Document the reason for extraction and any pre-existing conditions.
Ensure that the extraction is clearly linked to the traumatic fracture.
S02.5 specifically refers to traumatic fractures of teeth, while K03.8 encompasses other specified diseases of hard tissues of teeth that are not due to trauma.
