Is S52.615P a billable ICD-10-CM code?

Yes. S52.615P is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S52.615P 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).

S52.615P

S52.615P — Nondisplaced fracture of left ulna styloid process, subsequent encounter for closed fracture with malunion

Billable / specific codeICD-10-CMPOA exemptleft

S52.615P is a billable, specific ICD-10-CM code for nondisplaced fracture of left ulna styloid process, subsequent encounter for closed fracture with malunion. It is valid for submission on a claim.

7th character "P" — subsequent encounter for closed fracture with malunion

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

S52.615P 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

S52.615P is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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Related codes at this level

Codes that share S52.615. If S52.615P is not quite right, the correct code is usually one of these.

Questions about S52.615P

Is S52.615P a billable ICD-10-CM code?: Yes. S52.615P is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S52.615P 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).