S52.271C
S52.271C — Monteggia's fracture of right ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CMright
S52.271C is a billable, specific ICD-10-CM code for monteggia's fracture of right ulna, 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
S52.271C 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
S52.271C 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 S52.271. If S52.271C is not quite right, the correct code is usually one of these.
- S52.271AMonteggia's fracture of right ulna, initial encounter for closed fracture
- S52.271BMonteggia's fracture of right ulna, initial encounter for open fracture type I or II
- S52.271DMonteggia's fracture of right ulna, subsequent encounter for closed fracture with routine healing
- S52.271EMonteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with routine healing
- S52.271FMonteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.271GMonteggia's fracture of right ulna, subsequent encounter for closed fracture with delayed healing
- S52.271HMonteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with delayed healing
- S52.271JMonteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.271KMonteggia's fracture of right ulna, subsequent encounter for closed fracture with nonunion
- S52.271MMonteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with nonunion
- S52.271NMonteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.271PMonteggia's fracture of right ulna, subsequent encounter for closed fracture with malunion
- S52.271QMonteggia's fracture of right ulna, subsequent encounter for open fracture type I or II with malunion
- S52.271RMonteggia's fracture of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.271SMonteggia's fracture of right ulna, sequela
Questions about S52.271C
- Is S52.271C a billable ICD-10-CM code?
- Yes. S52.271C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.271C 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).