Fracture of tooth (traumatic), init encntr for open fracture

This code signifies a traumatic fracture of a tooth where the fracture site is exposed to the external environment, indicating an open wound. This typically involves a break in the enamel and dentin, potentially extending to the pulp, with communication to the oral cavity or external surface. It represents the initial treatment encounter for this specific type of dental injury.

Apply this code when documentation clearly states a tooth fracture resulting from trauma, and explicitly describes it as an "open fracture" or indicates exposure of the fracture site. This code is appropriate for the first visit where the patient presents for evaluation and treatment of the open tooth fracture. Supporting documentation would include dental examination findings, imaging reports, and a clear history of trauma.

• Ensure documentation specifies "open fracture" or describes communication of the fracture with the oral cavity/external environment.
• This code is for the initial encounter only; subsequent encounters for the same injury will require a different seventh character.
• Do not confuse with closed tooth fractures (S02.5XXA) or avulsion of a tooth (S03.2XXA).