Version 2024

2024 ICD-10-CM Diagnosis Code S52.1

Fracture of upper end of radius

ICD-10-CM Code:
S52.1
ICD-10 Code for:
Fracture of upper end of radius
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the elbow and forearm
      (S50-S59)
      • Fracture of forearm
        (S52)

S52.1 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 upper end of radius. The code is not specific and is NOT valid for the year 2024 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.

Specific Coding Applicable to Fracture of upper end of radius

Non-specific codes like S52.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of upper end of radius:

  • S52.10 for Unspecified fracture of upper end of radius - NON-BILLABLE CODE

  • S52.101 for Unspecified fracture of upper end of right radius - NON-BILLABLE CODE

  • Use S52.101A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.101B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.101C for or IIIC - BILLABLE CODE

  • Use S52.101D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.101E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.101F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.101G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.101H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.101J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.101K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.101M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.101N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.101P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.101Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.101R for or IIIC with malunion - BILLABLE CODE

  • Use S52.101S for sequela - BILLABLE CODE

  • S52.102 for Unspecified fracture of upper end of left radius - NON-BILLABLE CODE

  • Use S52.102A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.102B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.102C for or IIIC - BILLABLE CODE

  • Use S52.102D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.102E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.102F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.102G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.102H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.102J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.102K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.102M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.102N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.102P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.102Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.102R for or IIIC with malunion - BILLABLE CODE

  • Use S52.102S for sequela - BILLABLE CODE

  • S52.109 for Unspecified fracture of upper end of unspecified radius - NON-BILLABLE CODE

  • Use S52.109A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.109B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.109C for or IIIC - BILLABLE CODE

  • Use S52.109D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.109E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.109F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.109G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.109H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.109J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.109K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.109M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.109N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.109P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.109Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.109R for or IIIC with malunion - BILLABLE CODE

  • Use S52.109S for sequela - BILLABLE CODE

  • S52.11 for Torus fracture of upper end of radius - NON-BILLABLE CODE

  • S52.111 for Torus fracture of upper end of right radius - NON-BILLABLE CODE

  • Use S52.111A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.111D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S52.111G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S52.111K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S52.111P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S52.111S for sequela - BILLABLE CODE

  • S52.112 for Torus fracture of upper end of left radius - NON-BILLABLE CODE

  • Use S52.112A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.112D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S52.112G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S52.112K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S52.112P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S52.112S for sequela - BILLABLE CODE

  • S52.119 for Torus fracture of upper end of unspecified radius - NON-BILLABLE CODE

  • Use S52.119A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.119D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S52.119G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S52.119K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S52.119P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S52.119S for sequela - BILLABLE CODE

  • S52.12 for Fracture of head of radius - NON-BILLABLE CODE

  • S52.121 for Displaced fracture of head of right radius - NON-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 - BILLABLE CODE

  • S52.122 for Displaced fracture of head of left radius - NON-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 - BILLABLE CODE

  • S52.123 for Displaced fracture of head of unspecified radius - NON-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 - BILLABLE CODE

  • S52.124 for Nondisplaced fracture of head of right radius - NON-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 - BILLABLE CODE

  • S52.125 for Nondisplaced fracture of head of left radius - NON-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 - BILLABLE CODE

  • S52.126 for Nondisplaced fracture of head of unspecified radius - NON-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 - BILLABLE CODE

  • S52.13 for Fracture of neck of radius - NON-BILLABLE CODE

  • S52.131 for Displaced fracture of neck of right radius - NON-BILLABLE CODE

  • Use S52.131A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.131B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.131C for or IIIC - BILLABLE CODE

  • Use S52.131D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.131E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.131F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.131G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.131H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.131J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.131K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.131M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.131N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.131P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.131Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.131R for or IIIC with malunion - BILLABLE CODE

  • Use S52.131S for sequela - BILLABLE CODE

  • S52.132 for Displaced fracture of neck of left radius - NON-BILLABLE CODE

  • Use S52.132A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.132B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.132C for or IIIC - BILLABLE CODE

  • Use S52.132D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.132E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.132F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.132G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.132H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.132J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.132K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.132M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.132N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.132P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.132Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.132R for or IIIC with malunion - BILLABLE CODE

  • Use S52.132S for sequela - BILLABLE CODE

  • S52.133 for Displaced fracture of neck of unspecified radius - NON-BILLABLE CODE

  • Use S52.133A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.133B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.133C for or IIIC - BILLABLE CODE

  • Use S52.133D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.133E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.133F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.133G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.133H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.133J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.133K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.133M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.133N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.133P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.133Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.133R for or IIIC with malunion - BILLABLE CODE

  • Use S52.133S for sequela - BILLABLE CODE

  • S52.134 for Nondisplaced fracture of neck of right radius - NON-BILLABLE CODE

  • Use S52.134A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.134B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.134C for or IIIC - BILLABLE CODE

  • Use S52.134D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.134E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.134F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.134G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.134H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.134J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.134K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.134M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.134N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.134P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.134Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.134R for or IIIC with malunion - BILLABLE CODE

  • Use S52.134S for sequela - BILLABLE CODE

  • S52.135 for Nondisplaced fracture of neck of left radius - NON-BILLABLE CODE

  • Use S52.135A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.135B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.135C for or IIIC - BILLABLE CODE

  • Use S52.135D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.135E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.135F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.135G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.135H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.135J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.135K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.135M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.135N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.135P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.135Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.135R for or IIIC with malunion - BILLABLE CODE

  • Use S52.135S for sequela - BILLABLE CODE

  • S52.136 for Nondisplaced fracture of neck of unspecified radius - NON-BILLABLE CODE

  • Use S52.136A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.136B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.136C for or IIIC - BILLABLE CODE

  • Use S52.136D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.136E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.136F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.136G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.136H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.136J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.136K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.136M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.136N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.136P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.136Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.136R for or IIIC with malunion - BILLABLE CODE

  • Use S52.136S for sequela - BILLABLE CODE

  • S52.18 for Other fracture of upper end of radius - NON-BILLABLE CODE

  • S52.181 for Other fracture of upper end of right radius - NON-BILLABLE CODE

  • Use S52.181A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.181B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.181C for or IIIC - BILLABLE CODE

  • Use S52.181D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.181E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.181F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.181G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.181H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.181J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.181K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.181M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.181N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.181P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.181Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.181R for or IIIC with malunion - BILLABLE CODE

  • Use S52.181S for sequela - BILLABLE CODE

  • S52.182 for Other fracture of upper end of left radius - NON-BILLABLE CODE

  • Use S52.182A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.182B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.182C for or IIIC - BILLABLE CODE

  • Use S52.182D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.182E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.182F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.182G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.182H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.182J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.182K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.182M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.182N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.182P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.182Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.182R for or IIIC with malunion - BILLABLE CODE

  • Use S52.182S for sequela - BILLABLE CODE

  • S52.189 for Other fracture of upper end of unspecified radius - NON-BILLABLE CODE

  • Use S52.189A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.189B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.189C for or IIIC - BILLABLE CODE

  • Use S52.189D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.189E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.189F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.189G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.189H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.189J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.189K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.189M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.189N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.189P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.189Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.189R for or IIIC with malunion - BILLABLE CODE

  • Use S52.189S for sequela - BILLABLE CODE

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).

Patient Education


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 and strains, fractures (broken bones), dislocations, bursitis, and arthritis. Treatment depends on the cause.


[Learn More in MedlinePlus]

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.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.