S52.266R: Nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S52.266R is a billable, specific ICD-10-CM code for nondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S52.266R 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 S52.266R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.266R
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.266R
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
S52.266R 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 S52.266
- S52.266ANondisplaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for closed fracture
- S52.266BNondisplaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type I or II
- S52.266CNondisplaced segmental fracture of shaft of ulna, unspecified arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.266DNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with routine healing
- S52.266ENondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with routine healing
- S52.266FNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.266GNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with delayed healing
- S52.266HNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.266JNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.266KNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with nonunion
- S52.266MNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion
- S52.266NNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.266PNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for closed fracture with malunion
- S52.266QNondisplaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with malunion
- S52.266SNondisplaced segmental fracture of shaft of ulna, unspecified arm, sequela