S52.342Q
S52.342Q: Displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S52.342Q is a billable, specific ICD-10-CM code for displaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type i or ii with malunion. It is valid for submission on a claim.
Check S52.342Q with the rest of the claim: free scrubber7th character "Q": subsequent encounter for open fracture type I or II 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 S52.342Q
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.342Q
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.342Q
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
S52.342Q 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 S52.342
- S52.342ADisplaced spiral fracture of shaft of radius, left arm, initial encounter for closed fracture
- S52.342BDisplaced spiral fracture of shaft of radius, left arm, initial encounter for open fracture type I or II
- S52.342CDisplaced spiral fracture of shaft of radius, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.342DDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for closed fracture with routine healing
- S52.342EDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing
- S52.342FDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.342GDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for closed fracture with delayed healing
- S52.342HDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.342JDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.342KDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for closed fracture with nonunion
- S52.342MDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with nonunion
- S52.342NDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.342PDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for closed fracture with malunion
- S52.342RDisplaced spiral fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.342SDisplaced spiral fracture of shaft of radius, left arm, sequela