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ICD-10-CM Code S52.109
Unspecified fracture of upper end of unspecified radius

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S52.109 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'unspecified fracture of upper end of unspecified radius' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S52.109A initial encounter
B S52.109B initial encounter for open fracture type I or II
C S52.109C initial encounter for open fracture type IIIA, IIIB, or IIIC
D S52.109D subsequent encounter
E S52.109E subsequent encounter for open fracture type I or II with routine healing
F S52.109F subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G S52.109G subsequent encounter for closed fracture with delayed healing
H S52.109H subsequent encounter for open fracture type I or II with delayed healing
J S52.109J subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K S52.109K subsequent encounter for closed fracture with nonunion
M S52.109M subsequent encounter for open fracture type I or II with nonunion
N S52.109N subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P S52.109P subsequent encounter for closed fracture with malunion
Q S52.109Q subsequent encounter for open fracture type I or II with malunion
R S52.109R subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S S52.109S sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

Related Concepts SNOMET-CT

  • Closed fracture of upper end of radius AND ulna (disorder)
  • Open fracture of upper end of radius AND ulna (disorder)
  • Closed fracture subluxation superior radioulnar joint (disorder)
  • Closed fracture of neck of radius (disorder)

Coding Advice SNOMET-CT

  • Episode of care information needed
  • Possible requirement for an external cause code
  • Consider laterality specification
  • Consider additional code to identify specific condition or disease

Parent Code: S52.10 - Unspecified fracture of upper end of radius

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S52109