Is S52.219S a billable ICD-10-CM code?

Yes. S52.219S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S52.219S 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).

S52.219S

S52.219S — Greenstick fracture of shaft of unspecified ulna, sequela

Billable / specific codeICD-10-CMPOA exempt

S52.219S is a billable, specific ICD-10-CM code for greenstick fracture of shaft of unspecified ulna, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to all codes in subcategory S52.21

A: initial encounter for closed fracture
D: subsequent encounter for fracture with routine healing
G: subsequent encounter for fracture with delayed healing
K: subsequent encounter for fracture with nonunion
P: subsequent encounter for fracture with malunion
S: sequela

Risk adjustment

S52.219S 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

S52.219S 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.

A53065Billing and Coding: Outpatient Physical Therapy

Related codes at this level

Codes that share S52.219. If S52.219S is not quite right, the correct code is usually one of these.

Questions about S52.219S

Is S52.219S a billable ICD-10-CM code?: Yes. S52.219S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S52.219S 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).