S52.043E
S52.043E — Displaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing
Billable / specific codeICD-10-CMPOA exempt
S52.043E is a billable, specific ICD-10-CM code for displaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
7th character "E" — subsequent encounter for open fracture type I or II 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
S52.043E 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
S52.043E 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 S52.043. If S52.043E is not quite right, the correct code is usually one of these.
- S52.043ADisplaced fracture of coronoid process of unspecified ulna, initial encounter for closed fracture
- S52.043BDisplaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type I or II
- S52.043CDisplaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.043DDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with routine healing
- S52.043FDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.043GDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with delayed healing
- S52.043HDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.043JDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.043KDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with nonunion
- S52.043MDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.043NDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.043PDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for closed fracture with malunion
- S52.043QDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type I or II with malunion
- S52.043RDisplaced fracture of coronoid process of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.043SDisplaced fracture of coronoid process of unspecified ulna, sequela
Questions about S52.043E
- Is S52.043E a billable ICD-10-CM code?
- Yes. S52.043E is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.043E 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).