S52.391J
S52.391J — Other fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S52.391J is a billable, specific ICD-10-CM code for other fracture of shaft of radius, right arm, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th 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
Risk adjustment
S52.391J 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
S52.391J is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S52.391. If S52.391J is not quite right, the correct code is usually one of these.
- S52.391AOther fracture of shaft of radius, right arm, initial encounter for closed fracture
- S52.391BOther fracture of shaft of radius, right arm, initial encounter for open fracture type I or II
- S52.391COther fracture of shaft of radius, right arm, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.391DOther fracture of shaft of radius, right arm, subsequent encounter for closed fracture with routine healing
- S52.391EOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with routine healing
- S52.391FOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.391GOther fracture of shaft of radius, right arm, subsequent encounter for closed fracture with delayed healing
- S52.391HOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with delayed healing
- S52.391KOther fracture of shaft of radius, right arm, subsequent encounter for closed fracture with nonunion
- S52.391MOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with nonunion
- S52.391NOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.391POther fracture of shaft of radius, right arm, subsequent encounter for closed fracture with malunion
- S52.391QOther fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with malunion
- S52.391ROther fracture of shaft of radius, right arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.391SOther fracture of shaft of radius, right arm, sequela
Questions about S52.391J
- Is S52.391J a billable ICD-10-CM code?
- Yes. S52.391J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.391J 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).