S52.515S
S52.515S — Nondisplaced fracture of left radial styloid process, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S52.515S is a billable, specific ICD-10-CM code for nondisplaced fracture of left radial styloid process, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
S52.515S 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
S52.515S is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S52.515. If S52.515S is not quite right, the correct code is usually one of these.
- S52.515ANondisplaced fracture of left radial styloid process, initial encounter for closed fracture
- S52.515BNondisplaced fracture of left radial styloid process, initial encounter for open fracture type I or II
- S52.515CNondisplaced fracture of left radial styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.515DNondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with routine healing
- S52.515ENondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with routine healing
- S52.515FNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.515GNondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with delayed healing
- S52.515HNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with delayed healing
- S52.515JNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.515KNondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with nonunion
- S52.515MNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with nonunion
- S52.515NNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.515PNondisplaced fracture of left radial styloid process, subsequent encounter for closed fracture with malunion
- S52.515QNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type I or II with malunion
- S52.515RNondisplaced fracture of left radial styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Questions about S52.515S
- Is S52.515S a billable ICD-10-CM code?
- Yes. S52.515S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.515S 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).