S52.264C
S52.264C — Nondisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CMright
S52.264C is a billable, specific ICD-10-CM code for nondisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
7th character "C" — initial encounter for open fracture type IIIA, IIIB, or IIIC
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
Risk adjustment
S52.264C 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
S52.264C is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
- A58872Billing and Coding: Tetanus Immunization
- A58873Billing and Coding: Tetanus Immunization
Related codes at this level
Codes that share S52.264. If S52.264C is not quite right, the correct code is usually one of these.
- S52.264ANondisplaced segmental fracture of shaft of ulna, right arm, initial encounter for closed fracture
- S52.264BNondisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type I or II
- S52.264DNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with routine healing
- S52.264ENondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with routine healing
- S52.264FNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.264GNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with delayed healing
- S52.264HNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.264JNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.264KNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with nonunion
- S52.264MNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion
- S52.264NNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.264PNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for closed fracture with malunion
- S52.264QNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with malunion
- S52.264RNondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.264SNondisplaced segmental fracture of shaft of ulna, right arm, sequela
Questions about S52.264C
- Is S52.264C a billable ICD-10-CM code?
- Yes. S52.264C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.264C 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).