S52.125A
S52.125A — Nondisplaced fracture of head of left radius, initial encounter for closed fracture
Billable / specific codeICD-10-CMleft
S52.125A is a billable, specific ICD-10-CM code for nondisplaced fracture of head of left radius, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
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
S52.125A 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
S52.125A 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 S52.125. If S52.125A is not quite right, the correct code is usually one of these.
- S52.125BNondisplaced fracture of head of left radius, initial encounter for open fracture type I or II
- S52.125CNondisplaced fracture of head of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.125DNondisplaced fracture of head of left radius, subsequent encounter for closed fracture with routine healing
- S52.125ENondisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with routine healing
- S52.125FNondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.125GNondisplaced fracture of head of left radius, subsequent encounter for closed fracture with delayed healing
- S52.125HNondisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.125JNondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.125KNondisplaced fracture of head of left radius, subsequent encounter for closed fracture with nonunion
- S52.125MNondisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with nonunion
- S52.125NNondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.125PNondisplaced fracture of head of left radius, subsequent encounter for closed fracture with malunion
- S52.125QNondisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with malunion
- S52.125RNondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.125SNondisplaced fracture of head of left radius, sequela
Questions about S52.125A
- Is S52.125A a billable ICD-10-CM code?
- Yes. S52.125A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.125A 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).