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S52.90 vs S52.91

S52.90 (Unspecified fracture of unspecified forearm) compared with S52.91 (Unspecified fracture of right forearm), from the official CMS tabular data. S52.90 and S52.91 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S52.90
Unspecified
Unspecified fracture of unspecified forearm
S52.91
Right
Unspecified fracture of right forearm

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. S52.90 and S52.91 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.

Side by side

S52.90Unspecified fracture of unspecified forearmS52.91Unspecified fracture of right forearm
Billing statusNon-billable header

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

Non-billable header

Report instead: S52.91XA, S52.91XB, S52.91XC, S52.91XD, S52.91XE

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 right forearm is a non-billable ICD-10-CM category code (S52.91).
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