S52.101C — Unspecified fracture of upper end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
Is S52.101C billable?
Yes, but S52.101C is an unspecified code. S52.101C is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S52.101C is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S52.101C — the more specific alternatives are listed below.
More specific alternatives
- S52.121CDisplaced fracture of head of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.131CDisplaced fracture of neck of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.181COther fracture of upper end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
S52.101C at a glance
| Code | S52.101C |
|---|---|
| Description | Unspecified fracture of upper end of right radius, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "C" | initial encounter for open fracture type IIIA, IIIB, or IIIC |
What does the 7th character "C" mean in S52.101C?
In S52.101C, the 7th character C means initial encounter for open fracture type IIIA, IIIB, or IIIC. The 7th character is required for S52.101C to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS52.101A
- Binitial encounter for open fracture type I or IIS52.101B
- Cinitial encounter for open fracture type IIIA, IIIB, or IIICS52.101C
- Dsubsequent encounter for closed fracture with routine healingS52.101D
- Esubsequent encounter for open fracture type I or II with routine healingS52.101E
- Fsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingS52.101F
- Gsubsequent encounter for closed fracture with delayed healingS52.101G
- Hsubsequent encounter for open fracture type I or II with delayed healingS52.101H
- Jsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingS52.101J
- Ksubsequent encounter for closed fracture with nonunionS52.101K
- Msubsequent encounter for open fracture type I or II with nonunionS52.101M
- Nsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionS52.101N
- Psubsequent encounter for closed fracture with malunionS52.101P
- Qsubsequent encounter for open fracture type I or II with malunionS52.101Q
- Rsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS52.101R
- SsequelaS52.101S
Which MS-DRGs does S52.101C group to?
S52.101C sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
As a secondary diagnosis, S52.101C is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.
How is S52.101C listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S52.10, the nearest indexed parent of S52.101C. Use them to find the family, then select the specific code.
- Fracture, traumatic › radius › upper end (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S52
The conditions below can never be reported together with S52.101C 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 S52.101C to fully describe the condition. S52.101C 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 S52.101C, but a patient may have both at the same time. When documentation supports it, S52.101C and the excluded code may both be reported.
Excludes2 — not included here — inherited from S50-S59
The conditions below are not part of S52.101C, but a patient may have both at the same time. When documentation supports it, S52.101C and the excluded code may both be reported.
Excludes2 — not included here — inherited from S52
The conditions below are not part of S52.101C, but a patient may have both at the same time. When documentation supports it, S52.101C and the excluded code may both be reported.
Excludes2 — not included here — inherited from S52.1
The conditions below are not part of S52.101C, but a patient may have both at the same time. When documentation supports it, S52.101C and the excluded code may both be reported.
How long has S52.101C existed?
S52.101C 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.