ICD-10-CM Code S52.90XF

Unspecified fracture of unspecified forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

Version 2020 Billable Code POA Exempt

Valid for Submission

S52.90XF is a billable code used to specify a medical diagnosis of unspecified fracture of unspecified forearm, subsequent encounter for open fracture type iiia, iiib, or iiic with routine healing. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S52.90XF might also be used to specify conditions or terms like closed fracture of forearm, closed fracture of lower end of forearm, closed fracture of radius, closed fracture of radius and ulna, closed fracture of upper end of forearm, closed torus fracture of radius, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S52.90XF
Short Description:Unsp fx unsp forearm, 7thF
Long Description:Unspecified fracture of unspecified forearm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Closed fracture of forearm
  • Closed fracture of lower end of forearm
  • Closed fracture of radius
  • Closed fracture of radius AND ulna
  • Closed fracture of upper end of forearm
  • Closed torus fracture of radius
  • Fracture malunion - forearm
  • Fracture of forearm
  • Fracture of radius
  • Fracture of radius AND ulna
  • Multiple fractures of forearm
  • Open fracture of forearm
  • Open fracture of lower end of forearm
  • Open fracture of radius
  • Open fracture of radius AND ulna
  • Open fracture of shaft of bone of forearm
  • Open fracture of ulna
  • Open fracture of upper end of forearm
  • Torus fracture of radius

Diagnostic Related Groups

The ICD-10 code S52.90XF is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
  • 561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Present on Admission (POA)

S52.90XF is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S52.90XF to ICD-9

  • V54.10 - Aftrcre traum fx arm NOS (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the elbow and forearm (S50-S59)
      • Fracture of forearm (S52)

Code History

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

Information for Patients


Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Types of arm injuries include

  • Tendinitis and bursitis
  • Sprains
  • Dislocations
  • Broken bones
  • Nerve problems
  • Osteoarthritis

You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.


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Fractures

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

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

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.


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