ICDcodes.org
FY2027

S52.333CDisplaced oblique fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC

BillableUnspecifiedMCC

Is S52.333C billable?

Yes, but S52.333C will trip a Medicare edit. S52.333C is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, CMS lists S52.333C under Medicare Code Editor edit 20, “Unspecified code” — meaning a code specifying laterality (right, left or bilateral) exists in the same family. On an inpatient claim this triggers the edit, because CMS holds that there are very limited circumstances in which laterality cannot be documented.

S52.333C at a glance

CodeS52.333C
DescriptionDisplaced oblique fracture of shaft of unspecified radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 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 S52.333C?

In S52.333C, the 7th character C means initial encounter for open fracture type IIIA, IIIB, or IIIC. The 7th character is required for S52.333C to be a valid, complete code.

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

What Medicare edits apply to S52.333C?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name S52.333C directly.

Unspecified — a laterality-specific code exists — MCE edit 20

A code specifying laterality (right, left or bilateral) exists in the same family. CMS holds that there are very limited circumstances in which laterality cannot be documented.

Which MS-DRGs does S52.333C group to?

S52.333C 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, S52.333C 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 S52.333C listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S52.33, the nearest indexed parent of S52.333C. Use them to find the family, then select the specific code.

  • Fracture, traumaticradiusshaftoblique (abduction) (adduction) (separation)
  • Fracture, traumaticradiusshaftobliquenondisplaced (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S52

The conditions below can never be reported together with S52.333C 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 S52.333C to fully describe the condition. S52.333C 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 S52.333C, but a patient may have both at the same time. When documentation supports it, S52.333C 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 S52.333C, but a patient may have both at the same time. When documentation supports it, S52.333C 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 S52.333C, but a patient may have both at the same time. When documentation supports it, S52.333C 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 S52.333C existed?

S52.333C 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.