S52.264H
S52.264H: Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S52.264H is a billable, specific ICD-10-CM code for nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.
Check S52.264H with the rest of the claim: free scrubber7th character "H": subsequent encounter for open fracture type I or II 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 S52.264H
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.264H
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.264H
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
S52.264H 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 S52.264
- 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
- S52.264CNondisplaced segmental fracture of shaft of ulna, right arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- 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
- S52.264JNondisplaced 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