S52.309J
S52.309J: Unspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S52.309J is a billable, specific ICD-10-CM code for unspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S52.309J 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 S52.309J
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.309J
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.309J
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
S52.309J 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 S52.309
- S52.309AUnspecified fracture of shaft of unspecified radius, initial encounter for closed fracture
- S52.309BUnspecified fracture of shaft of unspecified radius, initial encounter for open fracture type I or II
- S52.309CUnspecified fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.309DUnspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with routine healing
- S52.309EUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with routine healing
- S52.309FUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.309GUnspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with delayed healing
- S52.309HUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.309KUnspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with nonunion
- S52.309MUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with nonunion
- S52.309NUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.309PUnspecified fracture of shaft of unspecified radius, subsequent encounter for closed fracture with malunion
- S52.309QUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type I or II with malunion
- S52.309RUnspecified fracture of shaft of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.309SUnspecified fracture of shaft of unspecified radius, sequela