S52.391M (Other fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with nonunion)
compared with
S52.399M (Other fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type I or II with nonunion),
from the official CMS tabular data. S52.391M and S52.399M code the same condition on opposite sides.
Other fracture of shaft of radius, 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. S52.391M and S52.399M 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
Other fracture of shaft of radius, right arm, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S52.391M).
Other fracture of shaft of radius, unspecified arm, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S52.399M).
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