S52.125R
S52.125R: Nondisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.125R is a billable, specific ICD-10-CM code for nondisplaced fracture of head of left radius, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S52.125R 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 S52.125R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.125R
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 S52.125R
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
S52.125R 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 S52.125
- S52.125ANondisplaced fracture of head of left radius, initial encounter for closed fracture
- 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
- S52.125SNondisplaced fracture of head of left radius, sequela