ICDcodes.org
FY2027

S52.92XAUnspecified fracture of left forearm, initial encounter for closed fracture

BillableUnspecifiedCC

Is S52.92XA billable?

Yes, but S52.92XA is an unspecified code. S52.92XA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S52.92XA 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 S52.92XA — the more specific alternatives are listed below.

S52.92XA at a glance

CodeS52.92XA
DescriptionUnspecified fracture of left forearm, initial encounter for closed fracture
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter for closed fracture

What does the 7th character "A" mean in S52.92XA?

In S52.92XA, the 7th character A means initial encounter for closed fracture. The 7th character is required for S52.92XA to be a valid, complete code.

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

Which MS-DRGs does S52.92XA group to?

S52.92XA 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, S52.92XA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.

How is S52.92XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S52.9, the nearest indexed parent of S52.92XA. Use them to find the family, then select the specific code.

  • Fracture, traumaticforearm (abduction) (adduction) (separation)
  • Fracture, traumaticradius (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S52

The conditions below can never be reported together with S52.92XA 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 S52.92XA to fully describe the condition. S52.92XA 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 S52.92XA, but a patient may have both at the same time. When documentation supports it, S52.92XA 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 S52.92XA, but a patient may have both at the same time. When documentation supports it, S52.92XA 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 S52.92XA, but a patient may have both at the same time. When documentation supports it, S52.92XA 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 S52.92XA existed?

S52.92XA 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.