Hi Guest!

No problem we are happy to help, I'm sorry your son is going through that. The dental practice will need to assign the appropriate ICD (diagnosis) code(s) for your son's case, as well as provide the appropriate procedure codes for the work done to the medical insurer.

Based on what you described, here are some diagnosis coding options:

K03.81 - Cracked tooth
S02.5XXA - Fracture of tooth (traumatic), initial encounter for closed fracture
S02.5XXB - Fracture of tooth (traumatic), initial encounter for open fracture
S03.2XXA - Dislocation of tooth, initial encounter

As for how the accident happened - there is a code for that as well! If you would like to provide me some additional details about the accident (i.e. trip & fall, hit by baseball, punched in face, vehicle accident, etc) I would be happy to provide you some options for that.


As for the procedure codes, based on what you described, it sounds like most or all of the procedures will actually get billed to the medical insurer using the "D" (dental) codes. Extractions, crowns, fillings, smoothing, ortho & crown lengthening do have have a direct CPT crosscode, so many insurers these days will process "D" codes when they are medically necessary services, or you can use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures


Hope this helps!