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S52.629A vs S52.629P

S52.629A (Torus fracture of lower end of unspecified ulna, initial encounter for closed fracture) compared with S52.629P (Torus fracture of lower end of unspecified ulna, subsequent encounter for fracture with malunion), from the official CMS tabular data. S52.629A and S52.629P code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S52.629A
Initial encounter
Torus fracture of lower end of unspecified ulna, initial encounter for closed fracture
S52.629P
Subsequent encounter
Torus fracture of lower end of unspecified ulna, subsequent encounter for fracture with malunion

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S52.629A and S52.629P code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

S52.629ATorus fracture of lower end of unspecified ulna, initial encounter for closed fractureS52.629PTorus fracture of lower end of unspecified ulna, subsequent encounter for fracture with malunion
Billing statusBillableBillable
ClassificationS00-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)
DefinitionTorus fracture of lower end of unspecified ulna, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S52.629A).Torus fracture of lower end of unspecified ulna, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S52.629P).
7th characterThe appropriate 7th character is to be added to all codes in subcategory S52.62The appropriate 7th character is to be added to all codes in subcategory S52.62

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources