S52.124J (Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing)
compared with
S52.126J (Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing),
from the official CMS tabular data. S52.124J and S52.126J code the same condition on opposite sides.
Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
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. S52.124J and S52.126J 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.
S00-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)
Definition
Nondisplaced fracture of head of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing is a billable ICD-10-CM diagnosis code (S52.124J).
Nondisplaced fracture of head of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing is a billable ICD-10-CM diagnosis code (S52.126J).
7th character
The appropriate 7th character is to be added to all codes from category S52
The appropriate 7th character is to be added to all codes from category S52