S52.026R
S52.026R — Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exempt
S52.026R is a billable, specific ICD-10-CM code for nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
7th character "R" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC 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
S52.026R 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
S52.026R is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S52.026. If S52.026R is not quite right, the correct code is usually one of these.
- S52.026ANondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for closed fracture
- S52.026BNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II
- S52.026CNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.026DNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with routine healing
- S52.026ENondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.026FNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.026GNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing
- S52.026HNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.026JNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.026KNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with nonunion
- S52.026MNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.026NNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.026PNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with malunion
- S52.026QNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with malunion
- S52.026SNondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna, sequela
Questions about S52.026R
- Is S52.026R a billable ICD-10-CM code?
- Yes. S52.026R is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.026R 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).