S52.256M
S52.256M: Nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exemptunspecified
S52.256M is a billable, specific ICD-10-CM code for nondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S52.256M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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 S52.256M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.256M
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.256M
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
S52.256M 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 S52.256
- S52.256ANondisplaced comminuted fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture
- S52.256BNondisplaced comminuted fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type I or II
- S52.256CNondisplaced comminuted fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.256DNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with routine healing
- S52.256ENondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with routine healing
- S52.256FNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.256GNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing
- S52.256HNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.256JNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.256KNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with nonunion
- S52.256NNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.256PNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion
- S52.256QNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with malunion
- S52.256RNondisplaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.256SNondisplaced comminuted fracture of shaft of ulna, unspecified arm, sequela