S52.59
S52.59 — Other fractures of lower end of radius
Non-billable headerICD-10-CM
S52.59 is a non-billable header ICD-10-CM code for other fractures of lower end of radius. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
S52.59 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.
Code to one of these instead S52.59
3 child codes. Green means billable.
Related codes at this level
Codes that share S52.5. If S52.59 is not quite right, the correct code is usually one of these.
- S52.50Unspecified fracture of the lower end of radius
- S52.51Fracture of radial styloid process
- S52.52Torus fracture of lower end of radius
- S52.53Colles' fracture
- S52.54Smith's fracture
- S52.55Other extraarticular fracture of lower end of radius
- S52.56Barton's fracture
- S52.57Other intraarticular fracture of lower end of radius
Questions about S52.59
- Is S52.59 a billable ICD-10-CM code?
- No. S52.59 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S52.59 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).