S52.551B
S52.551B — Other extraarticular fracture of lower end of right radius, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CMright
S52.551B is a billable, specific ICD-10-CM code for other extraarticular fracture of lower end of right radius, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
7th character "B" — initial encounter for open fracture type I or II
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
S52.551B 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
S52.551B is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
- A58872Billing and Coding: Tetanus Immunization
- A58873Billing and Coding: Tetanus Immunization
Related codes at this level
Codes that share S52.551. If S52.551B is not quite right, the correct code is usually one of these.
- S52.551AOther extraarticular fracture of lower end of right radius, initial encounter for closed fracture
- S52.551COther extraarticular fracture of lower end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.551DOther extraarticular fracture of lower end of right radius, subsequent encounter for closed fracture with routine healing
- S52.551EOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with routine healing
- S52.551FOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.551GOther extraarticular fracture of lower end of right radius, subsequent encounter for closed fracture with delayed healing
- S52.551HOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.551JOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.551KOther extraarticular fracture of lower end of right radius, subsequent encounter for closed fracture with nonunion
- S52.551MOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with nonunion
- S52.551NOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.551POther extraarticular fracture of lower end of right radius, subsequent encounter for closed fracture with malunion
- S52.551QOther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with malunion
- S52.551ROther extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.551SOther extraarticular fracture of lower end of right radius, sequela
Questions about S52.551B
- Is S52.551B a billable ICD-10-CM code?
- Yes. S52.551B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S52.551B 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).