S52.261J
S52.261J: Displaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S52.261J is a billable, specific ICD-10-CM code for displaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S52.261J with the rest of the claim: free scrubber7th 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 S52.261J
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.261J
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.261J
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
S52.261J 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 S52.261
- S52.261ADisplaced segmental fracture of shaft of ulna, right arm, initial encounter for closed fracture
- S52.261BDisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type I or II
- S52.261CDisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.261DDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with routine healing
- S52.261EDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing
- S52.261FDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.261GDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing
- S52.261HDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.261KDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with nonunion
- S52.261MDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion
- S52.261NDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.261PDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with malunion
- S52.261QDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion
- S52.261RDisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.261SDisplaced segmental fracture of shaft of ulna, right arm, sequela