S52.002Q
S52.002Q — Unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.002Q is a billable, specific ICD-10-CM code for unspecified fracture of upper end of left ulna, subsequent encounter for open fracture type i or ii with malunion. It is valid for submission on a claim.
7th character "Q" — subsequent encounter for open fracture type I or II with malunion
The appropriate 7th character is to be added to all codes from category S52
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Risk adjustment
S52.002Q does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S52.002Q is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S52.002. If S52.002Q is not quite right, the correct code is usually one of these.
- S52.002AUnspecified fracture of upper end of left ulna, initial encounter for closed fracture
- S52.002BUnspecified fracture of upper end of left ulna, initial encounter for open fracture type I or II
- S52.002CUnspecified fracture of upper end of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.002DUnspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with routine healing
- S52.002EUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.002FUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.002GUnspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with delayed healing
- S52.002HUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.002JUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.002KUnspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with nonunion
- S52.002MUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.002NUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.002PUnspecified fracture of upper end of left ulna, subsequent encounter for closed fracture with malunion
- S52.002RUnspecified fracture of upper end of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.002SUnspecified fracture of upper end of left ulna, sequela
Questions about S52.002Q
- Is S52.002Q a billable ICD-10-CM code?
- Yes. S52.002Q is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.002Q sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).