S02.5XXA (Fracture of tooth (traumatic), initial encounter for closed fracture) compared with T16 (Foreign body in ear), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“effects of foreign body in ear (T16)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S02.5XXA carries an Excludes2 note covering T16: “effects of foreign body in ear (T16)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S02.5XXAFracture of tooth (traumatic), initial encounter for closed fracture | T16Foreign body in ear | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T16.1XXA, T16.1XXD, T16.1XXS, T16.2XXA, T16.2XXD |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Fracture of tooth (traumatic), initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S02.5A). | Foreign body in ear is a non-billable ICD-10-CM category code (T16). |
| 7th character | The appropriate 7th character is to be added to each code from category S02 | The appropriate 7th character is to be added to each code from category T16 |
| Includes | injuries of ear injuries of eye injuries of face [any part] injuries of gum | foreign body in auditory canal |
| Use additional code | — | code, if known, for foreign body entering into or through a natural orifice (W44.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources