Cracked tooth syndrome (CTS) is a condition when a crack occurs in your tooth or you have a fractured tooth. Sometimes the damage is minor and harmless and sometimes it causes your teeth to crack or split. Age, tooth grinding, trauma, and other reasons can lead to a broken or cracked tooth. You may not notice any signs of a cracked tooth. You may also experience discomfort and sensitivity. Depending on the location and severity of the crack, your dentist has many treatment options.

Teeth Fracture occurs due to a variety of factors, including pressure from teeth grinding fillings so large that they weaken the integrity of the tooth, chewing or biting hard foods, such as ice, nuts, or hard candy, or getting injured in a car accident, sporting injury, fall, or even abrupt changes in temperature in the mouth.
Symptoms Of Cracked Tooth
Cracked teeth do not necessarily result in symptoms. But following are the key symptoms when it occurs:
• Pain that comes and goes, especially during chewing.
• Sensitivity to temperature changes
• Sensitivity to eating sweet foods
• Swelling in and around the tooth.
• Feeling pain when biting or chewing
Which teeth are the most prone to Fracture?
Tooth fractures most commonly occur on the top front teeth and the teeth at the rear of your lower jaw (mandibular molars). The majority of people only fracture one tooth. More severe damage or trauma may result in the fracture of many teeth. Even with a less powerful impact, those with tooth cavities are more likely to fracture.
ICD-10 codes
ICD-10 is a significantly more particular code set than ICD-9, and as you get to know it, you’ll realize that it seems more like a health care data statistics code set than a billing code set. Following are the important ICD-10 codes for fracture teeth.
ICD-10 Diagnosis Code S02.5: This code deals with the Fracture of a tooth (traumatic). A broken tooth that affects any part of the tooth: root fracture, crown-root Fracture, a broken tooth (crown fracture), chipped tooth. The pulp might be involved in a crown fracture. The degree of tooth fracture sequelae ranges from aesthetic abnormalities to tooth death. The involvement of the pulp is a better predictor of the severity of a tooth fracture than the number of teeth impacted.
ICD-10 Diagnosis Code S02.5XXA: S02.5XXA is a billable/specific ICD-10-CM code that can be used to identify a diagnosis to get compensation. Injuries, poisoning, and other externally caused effects are covered in this code.
ICD-10-CM Diagnosis Code S02.5XXB: This code is a specific ICD-10-CM code that may be used to identify a diagnosis to get compensation. Injuries, poisoning, and other externally caused effects are included in this code.
ICD-10-CM Diagnosis Code S02.5XXD: Tooth fracture (traumatic), subsequent fracture contact with regular healing. S02.5XXD is a billable/specific ICD-10-CM code that may be used to identify a diagnosis to get compensation.
ICD-10-CM Diagnosis Code S02.5XXG: Tooth fracture (traumatic), subsequent fracture encounter with delayed healing. S02.5XXG is a billable/specific ICD-10-CM code that may be used to identify a diagnosis to get compensation.
ICD-10-CM Diagnosis Code S02.5XXK: Tooth fracture (traumatic), following interaction with Fracture with non-union. S02.5XXK is a billable/specific ICD-10-CM code that may be used to identify a diagnosis to get compensation.
ICD-10-CM Diagnosis Code S02.5XXS: Traumatic tooth fracture, sequela. This code can be used to indicate a diagnosis for reimbursement purposes.
Healthcare personnel must be well-versed in the exact ICD-10 codes used to report broken teeth. Dental and medical billing services are given by AAPC-certified coders that can assist physicians in maximizing compensation for services rendered.
ICD-10-CM Diagnosis Code S02.6: Fracture of the mandible. A mandibular fracture, also known as a jaw fracture, is a break in the mandibular bone. In over 60% of situations, the break occurs in two places. It may impair your ability to open your mouth entirely.
ICD-10-CM Diagnosis Code K08.1: This code deals with complete loss of teeth due to accident, extraction, or local periodontal disease.
ICD-10-CM Diagnosis Code K03.81: This billable diagnosis code specifies a broken tooth as a medical diagnosis. Code is valid until the end of the fiscal year 2022.
ICD-10-CM Diagnosis Code K08.419: K08.419 is a billable/specific ICD-10-CM code that may be used to identify a diagnosis to get compensation.
Good oral hygiene practices can assist in lowering the incidence of fractured tooth syndrome. These include avoiding chewing on hard foods, quitting behaviors that might harm your teeth, such as grinding or biting on pens, and wearing a mouth guard to protect your teeth. Furthermore, excellent oral hygiene (brushing twice a day, flossing daily) and seeing the dentist every six months for preventative treatment. It can help in preventing such issues effectively.
Healthcare personnel must be well-versed in the exact ICD-10 codes used to report broken teeth. Dental medical billing services given by AAPC-certified coders can assist physicians in maximizing compensation for services rendered.
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