S52.131E
S52.131E: Displaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S52.131E is a billable, specific ICD-10-CM code for displaced fracture of neck of right radius, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
Check S52.131E with the rest of the claim: free scrubber7th character "E": subsequent encounter for open fracture type I or II with routine healing
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 S52.131E
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.131E
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 S52.131E
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
S52.131E 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 S52.131
- S52.131ADisplaced fracture of neck of right radius, initial encounter for closed fracture
- S52.131BDisplaced fracture of neck of right radius, initial encounter for open fracture type I or II
- S52.131CDisplaced fracture of neck of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.131DDisplaced fracture of neck of right radius, subsequent encounter for closed fracture with routine healing
- S52.131FDisplaced fracture of neck of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.131GDisplaced fracture of neck of right radius, subsequent encounter for closed fracture with delayed healing
- S52.131HDisplaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.131JDisplaced fracture of neck of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.131KDisplaced fracture of neck of right radius, subsequent encounter for closed fracture with nonunion
- S52.131MDisplaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with nonunion
- S52.131NDisplaced fracture of neck of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.131PDisplaced fracture of neck of right radius, subsequent encounter for closed fracture with malunion
- S52.131QDisplaced fracture of neck of right radius, subsequent encounter for open fracture type I or II with malunion
- S52.131RDisplaced fracture of neck of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.131SDisplaced fracture of neck of right radius, sequela