S52.031J
S52.031J — Displaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S52.031J is a billable, specific ICD-10-CM code for displaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th character "J" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
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
S52.031J 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
S52.031J is named in 3 Medicare coverage policies — 3 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
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S52.031. If S52.031J is not quite right, the correct code is usually one of these.
- S52.031ADisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for closed fracture
- S52.031BDisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type I or II
- S52.031CDisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.031DDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with routine healing
- S52.031EDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.031FDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.031GDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with delayed healing
- S52.031HDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.031KDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with nonunion
- S52.031MDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.031NDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.031PDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with malunion
- S52.031QDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with malunion
- S52.031RDisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.031SDisplaced fracture of olecranon process with intraarticular extension of right ulna, sequela
Questions about S52.031J
- Is S52.031J a billable ICD-10-CM code?
- Yes. S52.031J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.031J 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).