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S52.261 vs S52.263

S52.261 (Displaced segmental fracture of shaft of ulna, right arm) compared with S52.263 (Displaced segmental fracture of shaft of ulna, unspecified arm), from the official CMS tabular data. S52.261 and S52.263 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S52.261
Right
Displaced segmental fracture of shaft of ulna, right arm
S52.263
Unspecified
Displaced segmental fracture of shaft of ulna, unspecified arm

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. S52.261 and S52.263 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

S52.261Displaced segmental fracture of shaft of ulna, right armS52.263Displaced segmental fracture of shaft of ulna, unspecified arm
Billing statusNon-billable header

Report instead: S52.261A, S52.261B, S52.261C, S52.261D, S52.261E

Non-billable header

Report instead: S52.263A, S52.263B, S52.263C, S52.263D, S52.263E

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionDisplaced segmental fracture of shaft of ulna, right arm is a non-billable ICD-10-CM category code (S52.261).Displaced segmental fracture of shaft of ulna, unspecified arm is a non-billable ICD-10-CM category code (S52.263).
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