S52.362J
S52.362J: Displaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S52.362J is a billable, specific ICD-10-CM code for displaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S52.362J 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 S52.362J
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.362J
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S52.362J
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
S52.362J 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 S52.362
- S52.362ADisplaced segmental fracture of shaft of radius, left arm, initial encounter for closed fracture
- S52.362BDisplaced segmental fracture of shaft of radius, left arm, initial encounter for open fracture type I or II
- S52.362CDisplaced segmental fracture of shaft of radius, left arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.362DDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for closed fracture with routine healing
- S52.362EDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with routine healing
- S52.362FDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.362GDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for closed fracture with delayed healing
- S52.362HDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.362KDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for closed fracture with nonunion
- S52.362MDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with nonunion
- S52.362NDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.362PDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for closed fracture with malunion
- S52.362QDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type I or II with malunion
- S52.362RDisplaced segmental fracture of shaft of radius, left arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.362SDisplaced segmental fracture of shaft of radius, left arm, sequela