S52.223R
S52.223R: Displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exempt
S52.223R is a billable, specific ICD-10-CM code for displaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S52.223R 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 S52.223R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.223R
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.223R
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
S52.223R 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 S52.223
- S52.223ADisplaced transverse fracture of shaft of unspecified ulna, initial encounter for closed fracture
- S52.223BDisplaced transverse fracture of shaft of unspecified ulna, initial encounter for open fracture type I or II
- S52.223CDisplaced transverse fracture of shaft of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.223DDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with routine healing
- S52.223EDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.223FDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.223GDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with delayed healing
- S52.223HDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.223JDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.223KDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with nonunion
- S52.223MDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.223NDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.223PDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for closed fracture with malunion
- S52.223QDisplaced transverse fracture of shaft of unspecified ulna, subsequent encounter for open fracture type I or II with malunion
- S52.223SDisplaced transverse fracture of shaft of unspecified ulna, sequela