2021 ICD-10-CM Code S52.12

Fracture of head of radius

Version 2021

Not Valid for Submission

S52.12 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of head of radius. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:S52.12
Short Description:Fracture of head of radius
Long Description:Fracture of head of radius

Code Classification

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Fracture of head of radius

Non-specific codes like S52.12 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of head of radius:

  • NON-BILLABLE CODE - S52.121 for Displaced fracture of head of right radius
  • BILLABLE CODE - Use S52.121A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.121B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.121C for or IIIC
  • BILLABLE CODE - Use S52.121D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.121E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.121F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.121G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.121H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.121J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.121K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.121M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.121N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.121P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.121Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.121R for or IIIC with malunion
  • BILLABLE CODE - Use S52.121S for sequela
  • NON-BILLABLE CODE - S52.122 for Displaced fracture of head of left radius
  • BILLABLE CODE - Use S52.122A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.122B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.122C for or IIIC
  • BILLABLE CODE - Use S52.122D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.122E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.122F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.122G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.122H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.122J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.122K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.122M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.122N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.122P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.122Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.122R for or IIIC with malunion
  • BILLABLE CODE - Use S52.122S for sequela
  • NON-BILLABLE CODE - S52.123 for Displaced fracture of head of unspecified radius
  • BILLABLE CODE - Use S52.123A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.123B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.123C for or IIIC
  • BILLABLE CODE - Use S52.123D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.123E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.123F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.123G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.123H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.123J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.123K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.123M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.123N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.123P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.123Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.123R for or IIIC with malunion
  • BILLABLE CODE - Use S52.123S for sequela
  • NON-BILLABLE CODE - S52.124 for Nondisplaced fracture of head of right radius
  • BILLABLE CODE - Use S52.124A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.124B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.124C for or IIIC
  • BILLABLE CODE - Use S52.124D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.124E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.124F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.124G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.124H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.124J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.124K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.124M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.124N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.124P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.124Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.124R for or IIIC with malunion
  • BILLABLE CODE - Use S52.124S for sequela
  • NON-BILLABLE CODE - S52.125 for Nondisplaced fracture of head of left radius
  • BILLABLE CODE - Use S52.125A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.125B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.125C for or IIIC
  • BILLABLE CODE - Use S52.125D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.125E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.125F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.125G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.125H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.125J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.125K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.125M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.125N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.125P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.125Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.125R for or IIIC with malunion
  • BILLABLE CODE - Use S52.125S for sequela
  • NON-BILLABLE CODE - S52.126 for Nondisplaced fracture of head of unspecified radius
  • BILLABLE CODE - Use S52.126A for initial encounter for closed fracture
  • BILLABLE CODE - Use S52.126B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S52.126C for or IIIC
  • BILLABLE CODE - Use S52.126D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S52.126E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S52.126F for or IIIC with routine healing
  • BILLABLE CODE - Use S52.126G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S52.126H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S52.126J for or IIIC with delayed healing
  • BILLABLE CODE - Use S52.126K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S52.126M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S52.126N for or IIIC with nonunion
  • BILLABLE CODE - Use S52.126P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S52.126Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S52.126R for or IIIC with malunion
  • BILLABLE CODE - Use S52.126S for sequela

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S52.12 are found in the index:

Information for Patients


Elbow Injuries and Disorders

Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.

Many things can make your elbow hurt. A common cause is tendinitis, an inflammation or injury to the tendons that attach muscle to bone. Tendinitis of the elbow is a sports injury, often from playing tennis or golf. You may also get tendinitis from overuse of the elbow.

Other causes of elbow pain include sprains, strains, fractures, dislocations, bursitis and arthritis. Treatment depends on the cause.


[Learn More in MedlinePlus]

Fractures

Also called: Broken bone

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)