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S52.091 vs S52.099

S52.091 (Other fracture of upper end of right ulna) compared with S52.099 (Other fracture of upper end of unspecified ulna), from the official CMS tabular data. S52.091 and S52.099 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S52.091
Right
Other fracture of upper end of right ulna
S52.099
Unspecified
Other fracture of upper end of unspecified ulna

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S52.091 and S52.099 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S52.091Other fracture of upper end of right ulnaS52.099Other fracture of upper end of unspecified ulna
Billing statusNon-billable header

Report instead: S52.091A, S52.091B, S52.091C, S52.091D, S52.091E

Non-billable header

Report instead: S52.099A, S52.099B, S52.099C, S52.099D, S52.099E

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionOther fracture of upper end of right ulna is a non-billable ICD-10-CM category code (S52.091).Other fracture of upper end of unspecified ulna is a non-billable ICD-10-CM category code (S52.099).
7th characterThe appropriate 7th character is to be added to all codes from category S52The appropriate 7th character is to be added to all codes from category S52

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources