S52.119S
S52.119S: Torus fracture of upper end of unspecified radius, sequela
Billable / specific codeICD-10-CMPOA exempt
S52.119S is a billable, specific ICD-10-CM code for torus fracture of upper end of unspecified radius, sequela. It is valid for submission on a claim.
Check S52.119S 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 S52.119S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.119S
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 S52.119S
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
S52.119S is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.119
- S52.119ATorus fracture of upper end of unspecified radius, initial encounter for closed fracture
- S52.119DTorus fracture of upper end of unspecified radius, subsequent encounter for fracture with routine healing
- S52.119GTorus fracture of upper end of unspecified radius, subsequent encounter for fracture with delayed healing
- S52.119KTorus fracture of upper end of unspecified radius, subsequent encounter for fracture with nonunion
- S52.119PTorus fracture of upper end of unspecified radius, subsequent encounter for fracture with malunion