S52.264M — Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion

BillableCC

Is S52.264M billable?

Yes — S52.264M is billable for FY2027. S52.264M is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S52.264M may be submitted for encounters from October 1, 2026 through September 30, 2027.

S52.264M at a glance

Code	S52.264M
Description	Nondisplaced segmental fracture of shaft of ulna, right arm, subsequent encounter for open fracture type I or II with nonunion
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "M"	subsequent encounter for open fracture type I or II with nonunion

What does the 7th character "M" mean in S52.264M?

In S52.264M, the 7th character M means subsequent encounter for open fracture type I or II with nonunion. The 7th character is required for S52.264M to be a valid, complete code.

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

Which MS-DRGs does S52.264M group to?

S52.264M 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.

564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical

As a secondary diagnosis, S52.264M is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is S52.264M listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S52.26, the nearest indexed parent of S52.264M. Use them to find the family, then select the specific code.

Fracture, traumatic › ulna › shaft › segmental (abduction) (adduction) (separation)
Fracture, traumatic › ulna › shaft › segmental › nondisplaced (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S52

The conditions below can never be reported together with S52.264M 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 S52.264M to fully describe the condition. S52.264M 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 S52.264M, but a patient may have both at the same time. When documentation supports it, S52.264M 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 S52.264M, but a patient may have both at the same time. When documentation supports it, S52.264M 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 S52.264M, but a patient may have both at the same time. When documentation supports it, S52.264M and the excluded code may both be reported.

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

How long has S52.264M existed?

S52.264M 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.