7th Character Required

The appropriate 7th character is to be added to all codes from category S52

A - initial encounter for closed fracture

B - initial encounter for open fracture type I or II

C - initial encounter for open fracture type IIIA, IIIB, or IIIC

D - subsequent encounter for closed fracture with routine healing

E - subsequent encounter for open fracture type I or II with routine healing

F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

G - subsequent encounter for closed fracture with delayed healing

H - subsequent encounter for open fracture type I or II with delayed healing

J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

K - subsequent encounter for closed fracture with nonunion

M - subsequent encounter for open fracture type I or II with nonunion

N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

P - subsequent encounter for closed fracture with malunion

Q - subsequent encounter for open fracture type I or II with malunion

R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

S - sequela

Coding Guidelines

Excludes1 (Mutually Exclusive)

These codes should never be used together with S52

  • traumatic amputation of forearm (S58.-)

Excludes2 (Not Included Here)

These conditions are not part of this code but may be reported additionally if documented

  • fracture at wrist and hand level (S62.-)
  • M97.4 - periprosthetic fracture around internal prosthetic elbow joint (M97.4)

Notes

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
  • The open fracture designations are based on the Gustilo open fracture classification

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