S52.242M (Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with nonunion)
compared with
S52.243M (Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion),
from the official CMS tabular data. S52.242M and S52.243M code the same condition on opposite sides.
Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion
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. S52.242M and S52.243M 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
Displaced spiral fracture of shaft of ulna, left arm, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S52.242M).
Displaced spiral fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S52.243M).
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