S52.111S
S52.111S: Torus fracture of upper end of right radius, sequela
Billable / specific codeICD-10-CMPOA exemptright
S52.111S is a billable, specific ICD-10-CM code for torus fracture of upper end of right radius, sequela. It is valid for submission on a claim.
Check S52.111S with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to all codes in subcategory S52.11
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Excludes1 inherited from the categories above S52.111S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.111S
Not part of this code, but both may be coded when both are present.
Written on S52.1: Fracture of upper end of radius
Other codes that can never be billed with S52.111S
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
S52.111S is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.111
- S52.111ATorus fracture of upper end of right radius, initial encounter for closed fracture
- S52.111DTorus fracture of upper end of right radius, subsequent encounter for fracture with routine healing
- S52.111GTorus fracture of upper end of right radius, subsequent encounter for fracture with delayed healing
- S52.111KTorus fracture of upper end of right radius, subsequent encounter for fracture with nonunion
- S52.111PTorus fracture of upper end of right radius, subsequent encounter for fracture with malunion