S52.036F
S52.036F — Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Billable / specific codeICD-10-CMPOA exempt
S52.036F is a billable, specific ICD-10-CM code for nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type iiia, iiib, or iiic with routine healing. It is valid for submission on a claim.
7th character "F" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine 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
S52.036F 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
S52.036F 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.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S52.036. If S52.036F is not quite right, the correct code is usually one of these.
- S52.036ANondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for closed fracture
- S52.036BNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for open fracture type I or II
- S52.036CNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.036DNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with routine healing
- S52.036ENondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.036GNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with delayed healing
- S52.036HNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.036JNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.036KNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with nonunion
- S52.036MNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.036NNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.036PNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for closed fracture with malunion
- S52.036QNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type I or II with malunion
- S52.036RNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.036SNondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna, sequela
Questions about S52.036F
- Is S52.036F a billable ICD-10-CM code?
- Yes. S52.036F is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.036F 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).