S52.261M (Displaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion)
compared with
S52.263M (Displaced segmental fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type I or II with nonunion),
from the official CMS tabular data. S52.261M and S52.263M code the same condition on opposite sides.
Displaced segmental 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. S52.261M and S52.263M 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 segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S52.261M).
Displaced segmental 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 (S52.263M).
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