Question 1

Is S52.1 a billable ICD-10 code?

Accepted Answer

No, S52.1 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code S52.1 mean?

Accepted Answer

ICD-10-CM code S52.1 represents Fracture of upper end of radius. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code S52.1 introduced?

Accepted Answer

Code S52.1 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code S52.1?

Accepted Answer

The parent category for S52.1 is S52 (Fracture of forearm). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions should be coded separately from S52.1?

Accepted Answer

Code S52.1 has Type 2 Excludes including: physeal fractures of upper end of radius (S59.2-); fracture of shaft of radius (S52.3-). These conditions are not included in S52.1 but can be coded together if the patient has both conditions.

Question 6

Does S52.1 require a 7th character extension?

Accepted Answer

Yes, S52.1 requires a 7th character to specify the encounter type. Available extensions include: 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) and 13 more options. Use "X" as a placeholder to fill empty positions before the 7th character (e.g., S52.1XXA for initial encounter). The extension indicates whether this is an initial visit, follow-up, or treatment for a late effect.

S52.12027

Excludes11Not coded together

Excludes210Not included here

Use Additional Code1Add code for detail

Notes6Additional information

7th Character Extensions16Fracture encounter types