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Compare/K08.53 vs S02.5

K08.53 vs S02.5

K08.53 (Fractured dental restorative material) compared with S02.5 (Fracture of tooth (traumatic)), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. K08.53 carries an Excludes1 note covering S02.5: “traumatic fracture of tooth (S02.5)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

K08.53Fractured dental restorative materialS02.5Fracture of tooth (traumatic)
Billing statusNon-billable header

Report instead: K08.530, K08.531, K08.539

Non-billable header

Report instead: S02.5XXA, S02.5XXB, S02.5XXD, S02.5XXG, S02.5XXK

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionFractured dental restorative material is a non-billable ICD-10-CM category code (K08.53).Fracture of tooth (traumatic) is a non-billable ICD-10-CM category code (S02.5).
7th characterThe appropriate 7th character is to be added to each code from category S02
Includes
injuries of ear
injuries of eye
injuries of face [any part]
injuries of gum

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources