S52.126P
S52.126P: Nondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with malunion
Billable / specific codeICD-10-CMPOA exempt
S52.126P is a billable, specific ICD-10-CM code for nondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with malunion. It is valid for submission on a claim.
Check S52.126P with the rest of the claim: free scrubber7th character "P": subsequent encounter for closed fracture 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 S52.126P
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.126P
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 S52.126P
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
S52.126P is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.126
- S52.126ANondisplaced fracture of head of unspecified radius, initial encounter for closed fracture
- S52.126BNondisplaced fracture of head of unspecified radius, initial encounter for open fracture type I or II
- S52.126CNondisplaced fracture of head of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.126DNondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with routine healing
- S52.126ENondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with routine healing
- S52.126FNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.126GNondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with delayed healing
- S52.126HNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.126JNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.126KNondisplaced fracture of head of unspecified radius, subsequent encounter for closed fracture with nonunion
- S52.126MNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with nonunion
- S52.126NNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.126QNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type I or II with malunion
- S52.126RNondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.126SNondisplaced fracture of head of unspecified radius, sequela