S52.012D: Torus fracture of upper end of left ulna, subsequent encounter for fracture with routine healing
S52.012D is a billable, specific ICD-10-CM code for torus fracture of upper end of left ulna, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S52.012D 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 S52.012D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.012D
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 S52.012D
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
S52.012D 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 S52.012
- S52.012ATorus fracture of upper end of left ulna, initial encounter for closed fracture
- S52.012GTorus fracture of upper end of left ulna, subsequent encounter for fracture with delayed healing
- S52.012KTorus fracture of upper end of left ulna, subsequent encounter for fracture with nonunion
- S52.012PTorus fracture of upper end of left ulna, subsequent encounter for fracture with malunion
- S52.012STorus fracture of upper end of left ulna, sequela