S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
Diagnostic indication for Fracture of tooth (traumatic), initial encounter for closed fracture
- Diagnosis Code
- S02.5XXA
- Category
- Fracture of skull and facial bones
- ICD Chapter
- Injury, poisoning and certain other consequences (S00-T88)
Indicated Dental Procedures (CDT Crosswalk)
| CDT Code | Procedure Name | Category | Primary Justification | Claim Type | Reference Fee |
|---|---|---|---|---|---|
| D2940 | Interim Direct Res | Restorative | Secondary | BOTH | N/A |
| D4249 | Crown Lengthening | Periodontics | Secondary | BOTH | N/A |
| D2740 | Crown (Porcelain) | Restorative | Secondary | BOTH | N/A |
| D2750 | Crown (PFM HN) | Restorative | Secondary | BOTH | N/A |
| D2751 | Crown (PFM Base) | Restorative | Secondary | BOTH | N/A |
| D2752 | Crown (PFM Noble) | Restorative | Secondary | BOTH | N/A |
| D2753 | Crown (PFM Titan) | Restorative | Secondary | BOTH | N/A |
| D2790 | Crown (Full HN) | Restorative | Secondary | BOTH | N/A |
| D2792 | Crown (Full Noble) | Restorative | Secondary | BOTH | N/A |
| D2794 | Crown (Titanium) | Restorative | Secondary | BOTH | N/A |
| D2950 | Core Buildup | Restorative | Secondary | BOTH | N/A |
| D2951 | Pin Retention | Restorative | Secondary | BOTH | N/A |
| D2952 | Post and Core (Ind) | Restorative | Secondary | BOTH | N/A |
| D2954 | Post and Core (Prefab) | Restorative | Secondary | BOTH | N/A |
| D2928 | Crown (Porc Perm) | Restorative | Secondary | BOTH | N/A |
| D2930 | Crown (SS Primary) | Restorative | Secondary | BOTH | N/A |
| D3110 | Pulp Cap (Direct) | Endodontics | Secondary | BOTH | N/A |
| D3120 | Pulp Cap (Indirect) | Endodontics | Secondary | BOTH | N/A |
| D2140 | Amalgam (1 Surf) | Restorative | Secondary | BOTH | N/A |
| D2150 | Amalgam (2 Surf) | Restorative | Secondary | BOTH | N/A |
| D2160 | Amalgam (3 Surf) | Restorative | Secondary | BOTH | N/A |
| D2161 | Amalgam (4+ Surf) | Restorative | Secondary | BOTH | N/A |
| D2330 | Resin (1 Surf Ant) | Restorative | Secondary | BOTH | N/A |
| D2331 | Resin (2 Surf Ant) | Restorative | Secondary | BOTH | N/A |
| D2332 | Resin (3 Surf Ant) | Restorative | Secondary | BOTH | N/A |
| D2335 | Resin (4+ Surf Ant) | Restorative | Secondary | BOTH | N/A |
| D2391 | Resin (1 Surf Post) | Restorative | Secondary | BOTH | N/A |
| D2392 | Resin (2 Surf Post) | Restorative | Secondary | BOTH | N/A |
| D2393 | Resin (3 Surf Post) | Restorative | Secondary | BOTH | N/A |
| D2394 | Resin (4+ Surf Post) | Restorative | Secondary | BOTH | N/A |
| D3220 | Pulpotomy | Endodontics | Secondary | BOTH | N/A |
| D3310 | RCT (Anterior) | Endodontics | Secondary | BOTH | N/A |
| D3320 | RCT (Premolar) | Endodontics | Secondary | BOTH | N/A |
| D3330 | RCT (Molar) | Endodontics | Secondary | BOTH | N/A |
| D7953 | Bone Repl Graft | Oral Surgery | Secondary | BOTH | N/A |
| D7140 | Extract Routine | Oral Surgery | Secondary | BOTH | N/A |
| D7210 | Extract Surgical | Oral Surgery | Secondary | BOTH | N/A |