ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K00.2

Billable / Specific

Abnormalities of size and form of teeth

K00
Block
13
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM K00.2

ICD-10-CM code K00.2 represents Abnormalities of size and form of teeth. This is a billable/specific code in the Digestive System chapter (block K00). The 2026 edition of ICD-10-CM K00.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K00.2. Per CMS ICD-10-CM Tabular 2026.

  • Concrescence of teeth
  • Fusion of teeth
  • Gemination of teeth
  • Dens evaginatus
  • Dens in dente
  • Dens invaginatus
  • Enamel pearls
  • Macrodontia
  • Microdontia
  • Peg-shaped [conical] teeth
  • Supernumerary roots
  • Taurodontism
  • Tuberculum paramolare

Type 1 Excludes

Pure excludes, these codes can never be coded together with K00.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • abnormalities of teeth due to congenital syphilis (A50.5)
  • tuberculum Carabelli, which is regarded as a normal variation and should not be coded

Medicare LCD Coverage for K00.2

Local Coverage Determinations (LCDs) from CMS MACs that list K00.2 as a covered diagnosis.

No Medicare LCDs reference K00.2 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K00.2.

No commercial payer policies reference K00.2 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K00.2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with K00.2

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for K00.2

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert K00.2 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K00.2 5202 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 K00.2, Billing FAQ

Is ICD-10 code K00.2 billable? +

Yes, K00.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K00.2? +

ICD-10 K00.2 includes: Concrescence of teeth; Fusion of teeth; Gemination of teeth, and 10 more clinical synonyms.

What codes are Type 1 Excludes for K00.2? +

Type 1 Excludes (never code together with K00.2): abnormalities of teeth due to congenital syphilis (A50.5); tuberculum Carabelli, which is regarded as a normal variation and should not be coded

What ICD-9 codes does K00.2 map to? +

Per CMS GEMs, K00.2 maps to ICD-9 codes: 5202. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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