S52.245J — Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S52.245J is a billable, specific ICD-10-CM code for nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th character "J" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed 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 S52.245J
These are not written on S52.245J, but they bind it: a note on a category applies to every code beneath it. Billing S52.245J with anything listed here is a denial.
Excludes2 inherited from the categories above S52.245J
Also inherited, and the opposite of Excludes1: these conditions are not part of S52.245J, but a patient can have both, so you may code both.
Other codes that can never be billed with S52.245J
These codes carry an Excludes1 note pointing at S52.245J. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S52.245J alone.
Risk adjustment
S52.245J 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
S52.245J is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
S52.245J has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S52.245. If S52.245J is not quite right, the correct code is usually one of these.
- S52.245ANondisplaced spiral fracture of shaft of ulna, left arm, initial encounter for closed fracture
- S52.245BNondisplaced spiral fracture of shaft of ulna, left arm, initial encounter for open fracture type I or II
- S52.245CNondisplaced spiral fracture of shaft of ulna, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.245DNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with routine healing
- S52.245ENondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with routine healing
- S52.245FNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.245GNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with delayed healing
- S52.245HNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.245KNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with nonunion
- S52.245MNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with nonunion
- S52.245NNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.245PNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for closed fracture with malunion
- S52.245QNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with malunion
- S52.245RNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.245SNondisplaced spiral fracture of shaft of ulna, left arm, sequela
Questions about S52.245J
- Is S52.245J a billable ICD-10-CM code?
- Yes. S52.245J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.245J 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).
- What cannot be coded together with S52.245J?
- S52.245J carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S52.245J (S52) and apply to it just the same.