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S52 ICD-10-CM Code: Fracture of forearm

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the elbow and forearm (S50-S59)

S52

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Fracture of forearm

Fracture of forearm

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S5Injuries to the elbow and forearm (S50-S59)
S52Fracture of forearm

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S52 in this effective period.

Excludes 2

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

Related Child Codes

Official
S52.0Fracture of upper end of ulna
S52.1Fracture of upper end of radius
S52.2Fracture of shaft of ulna
S52.3Fracture of shaft of radius
S52.5Fracture of lower end of radius

Includes

Official

ICD-10-CM does not list Includes notes for S52 in this effective period.

Excludes 1

Official
  • traumatic amputation of forearm (S58.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S52 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S52 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S52 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S52 is the ICD-10-CM diagnosis code for fracture of forearm. S52 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the elbow and forearm (s50-s59).

Header codes like S52 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S52's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S52 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • traumatic amputation of forearm (S58.-)

Excludes 2, Not included here, may code separately

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

Child Codes

Code Hierarchy

S52Fracture of forearm
S52Fracture of forearm

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