S52.245R
S52.245R: Nondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.245R 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 malunion. It is valid for submission on a claim.
Check S52.245R 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 S52.245R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.245R
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.245R
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
S52.245R 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 S52.245
- 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
- S52.245JNondisplaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC 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
- S52.245SNondisplaced spiral fracture of shaft of ulna, left arm, sequela