S52.042M
S52.042M: Displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.042M is a billable, specific ICD-10-CM code for displaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S52.042M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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
Excludes1 inherited from the categories above S52.042M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.042M
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 S52.042M
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
S52.042M 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 S52.042
- S52.042ADisplaced fracture of coronoid process of left ulna, initial encounter for closed fracture
- S52.042BDisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type I or II
- S52.042CDisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.042DDisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with routine healing
- S52.042EDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.042FDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.042GDisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with delayed healing
- S52.042HDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.042JDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.042KDisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with nonunion
- S52.042NDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.042PDisplaced fracture of coronoid process of left ulna, subsequent encounter for closed fracture with malunion
- S52.042QDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type I or II with malunion
- S52.042RDisplaced fracture of coronoid process of left ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.042SDisplaced fracture of coronoid process of left ulna, sequela