S52.551R (Other extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion)
compared with
S52.559R (Other extraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion),
from the official CMS tabular data. S52.551R and S52.559R code the same condition on opposite sides. MedCoder-derived
Other extraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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. S52.551R and S52.559R 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 extraarticular fracture of lower end of right radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S52.551R).
Other extraarticular fracture of lower end of unspecified radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion is a billable ICD-10-CM diagnosis code (S52.559R).
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