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K03.81

Billable

Cracked tooth

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A tooth that has a visible crack or fracture in the hard structure, which may or may not cause pain or symptoms.

Coding Tips

  • •Specify the tooth location and extent of the crack if documented; cracked tooth syndrome may have associated pain codes
  • •Distinguish from other tooth fractures; a cracked tooth typically has an incomplete fracture line

Excludes 1 — Do NOT code together

  • asymptomatic craze lines in enamel - omit code
  • broken or fractured tooth due to trauma (S02.5)

Code Hierarchy

└K03Other diseases of hard tissues of teeth└K03.8Other specified diseases of hard tissues of teeth└K03.81Cracked tooth
└K03.81Cracked tooth

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