S52.034R
S52.034R — Nondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptright
S52.034R is a billable, specific ICD-10-CM code for nondisplaced fracture of olecranon process with intraarticular extension of right 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
S52.034R 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
S52.034R 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 S52.034. If S52.034R is not quite right, the correct code is usually one of these.
- S52.034ANondisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for closed fracture
- S52.034BNondisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type I or II
- S52.034CNondisplaced fracture of olecranon process with intraarticular extension of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.034DNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with routine healing
- S52.034ENondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.034FNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.034GNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with delayed healing
- S52.034HNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.034JNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.034KNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with nonunion
- S52.034MNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.034NNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.034PNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for closed fracture with malunion
- S52.034QNondisplaced fracture of olecranon process with intraarticular extension of right ulna, subsequent encounter for open fracture type I or II with malunion
- S52.034SNondisplaced fracture of olecranon process with intraarticular extension of right ulna, sequela
Questions about S52.034R
- Is S52.034R a billable ICD-10-CM code?
- Yes. S52.034R is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.034R 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).