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S52.125 vs S52.126

S52.125 (Nondisplaced fracture of head of left radius) compared with S52.126 (Nondisplaced fracture of head of unspecified radius), from the official CMS tabular data. S52.125 and S52.126 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S52.125
Left
Nondisplaced fracture of head of left radius
S52.126
Unspecified
Nondisplaced fracture of head of unspecified radius

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. S52.125 and S52.126 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

S52.125Nondisplaced fracture of head of left radiusS52.126Nondisplaced fracture of head of unspecified radius
Billing statusNon-billable header

Report instead: S52.125A, S52.125B, S52.125C, S52.125D, S52.125E

Non-billable header

Report instead: S52.126A, S52.126B, S52.126C, S52.126D, S52.126E

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)
DefinitionNondisplaced fracture of head of left radius is a non-billable ICD-10-CM category code (S52.125).Nondisplaced fracture of head of unspecified radius is a non-billable ICD-10-CM category code (S52.126).
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