S52.119A

S52.119A: Torus fracture of upper end of unspecified radius, initial encounter for closed fracture

Billable / specific codeICD-10-CM

S52.119A is a billable, specific ICD-10-CM code for torus fracture of upper end of unspecified radius, initial encounter for closed fracture. It is valid for submission on a claim.

Check S52.119A with the rest of the claim: free scrubber

7th character "A": initial encounter for closed fracture

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 S52.119A

A category’s note binds every code beneath it.

Written on S52: Fracture of forearm

traumatic amputation of forearm (S58.-)

Excludes2 inherited from the categories above S52.119A

Not part of this code, but both may be coded when both are present.

Written on S52.1: Fracture of upper end of radius

physeal fractures of upper end of radius (S59.2-)
fracture of shaft of radius (S52.3-)

Written on S52: Fracture of forearm

fracture at wrist and hand level (S62.-)
periprosthetic fracture around internal prosthetic elbow joint (M97.4)

Other codes that can never be billed with S52.119A

Their own Excludes1 notes name this code, so the conflict is not listed above.

M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
S51Open wound of elbow and forearm

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.