S52.091E — Other fracture of upper end of right ulna, subsequent encounter for open fracture type I or II with routine healing

Billable

Is S52.091E billable?

Yes — S52.091E is billable for FY2027. S52.091E is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S52.091E may be submitted for encounters from October 1, 2026 through September 30, 2027.

S52.091E at a glance

Code	S52.091E
Description	Other fracture of upper end of right ulna, subsequent encounter for open fracture type I or II with routine healing
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "E"	subsequent encounter for open fracture type I or II with routine healing

What does the 7th character "E" mean in S52.091E?

In S52.091E, the 7th character E means subsequent encounter for open fracture type I or II with routine healing. The 7th character is required for S52.091E to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S52.091E group to?

S52.091E sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is S52.091E listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S52.09, the nearest indexed parent of S52.091E. Use them to find the family, then select the specific code.

Fracture, traumatic › ulna › upper end › specified NEC (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S52

The conditions below can never be reported together with S52.091E on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

traumatic amputation of forearm (S58.-)

Use additional code — inherited from Chapter 19

Report an additional code alongside S52.091E to fully describe the condition. S52.091E is sequenced first.

code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S52.091E, but a patient may have both at the same time. When documentation supports it, S52.091E and the excluded code may both be reported.

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S50-S59

The conditions below are not part of S52.091E, but a patient may have both at the same time. When documentation supports it, S52.091E and the excluded code may both be reported.

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of wrist and hand (S60-S69)
insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S52

The conditions below are not part of S52.091E, but a patient may have both at the same time. When documentation supports it, S52.091E and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from S52.0

The conditions below are not part of S52.091E, but a patient may have both at the same time. When documentation supports it, S52.091E and the excluded code may both be reported.

fracture of elbow NOS (S42.40-)
fractures of shaft of ulna (S52.2-)

How long has S52.091E existed?

S52.091E has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.