S52.011D: Torus fracture of upper end of right ulna, subsequent encounter for fracture with routine healing
S52.011D is a billable, specific ICD-10-CM code for torus fracture of upper end of right ulna, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S52.011D with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine healing
The appropriate 7th character is to be added to all codes in subcategory S52.01
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Excludes1 inherited from the categories above S52.011D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.011D
Not part of this code, but both may be coded when both are present.
Written on S52.0: Fracture of upper end of ulna
Other codes that can never be billed with S52.011D
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S52.011D is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.011
- S52.011ATorus fracture of upper end of right ulna, initial encounter for closed fracture
- S52.011GTorus fracture of upper end of right ulna, subsequent encounter for fracture with delayed healing
- S52.011KTorus fracture of upper end of right ulna, subsequent encounter for fracture with nonunion
- S52.011PTorus fracture of upper end of right ulna, subsequent encounter for fracture with malunion
- S52.011STorus fracture of upper end of right ulna, sequela