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S52.90 vs S52.90XB

S52.90 (Unspecified fracture of unspecified forearm) compared with S52.90XB (Unspecified fracture of unspecified forearm, initial encounter for open fracture type I or II), from the official CMS tabular data. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. MedCoder-derived

Can these codes be reported together?

Yes. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. Each may be reported when its own documentation requirements are met.

Side by side

S52.90Unspecified fracture of unspecified forearmS52.90XBUnspecified fracture of unspecified forearm, initial encounter for open fracture type I or II
Billing statusNon-billable header

Report instead: S52.90XA, S52.90XB, S52.90XC, S52.90XD, S52.90XE

Billable
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)
DefinitionUnspecified fracture of unspecified forearm is a non-billable ICD-10-CM category code (S52.90).Unspecified fracture of unspecified forearm, initial encounter for open fracture type I or II is a billable ICD-10-CM diagnosis code (S52.90XB).
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