S52.124R
S52.124R: Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptright
S52.124R is a billable, specific ICD-10-CM code for nondisplaced fracture of head of right radius, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S52.124R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 S52.124R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.124R
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 S52.124R
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
S52.124R 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 S52.124
- S52.124ANondisplaced fracture of head of right radius, initial encounter for closed fracture
- S52.124BNondisplaced fracture of head of right radius, initial encounter for open fracture type I or II
- S52.124CNondisplaced fracture of head of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.124DNondisplaced fracture of head of right radius, subsequent encounter for closed fracture with routine healing
- S52.124ENondisplaced fracture of head of right radius, subsequent encounter for open fracture type I or II with routine healing
- S52.124FNondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.124GNondisplaced fracture of head of right radius, subsequent encounter for closed fracture with delayed healing
- S52.124HNondisplaced fracture of head of right radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.124JNondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.124KNondisplaced fracture of head of right radius, subsequent encounter for closed fracture with nonunion
- S52.124MNondisplaced fracture of head of right radius, subsequent encounter for open fracture type I or II with nonunion
- S52.124NNondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.124PNondisplaced fracture of head of right radius, subsequent encounter for closed fracture with malunion
- S52.124QNondisplaced fracture of head of right radius, subsequent encounter for open fracture type I or II with malunion
- S52.124SNondisplaced fracture of head of right radius, sequela