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S52.616 ICD-10-CM Code: Nondisplaced fracture of unspecified ulna styloid process

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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)

S52.616

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

Nondisplaced fracture of unspecified ulna styloid process

Nondisplaced fracture of unspecified ulna styloid process

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
S52.6Fracture of lower end of ulna
S52.61Fracture of ulna styloid process
S52.616Nondisplaced fracture of unspecified ulna styloid process

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S52.616 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S52.616 in this effective period.

Related Child Codes

Official
S52.616ANondisplaced fracture of unspecified ulna styloid process, initial encounter for closed fracture
S52.616BNondisplaced fracture of unspecified ulna styloid process, initial encounter for open fracture type I or II
S52.616CNondisplaced fracture of unspecified ulna styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC
S52.616DNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with routine healing
S52.616ENondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with routine healing

Includes

Official

ICD-10-CM does not list Includes notes for S52.616 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S52.616 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S52.616 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S52.616 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S52.616 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

S52.616 is the ICD-10-CM diagnosis code for nondisplaced fracture of unspecified ulna styloid process. S52.616 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 S52.616 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 S52.616'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 S52.616 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

S52.616ANondisplaced fracture of unspecified ulna styloid process, initial encounter for closed fracture
S52.616BNondisplaced fracture of unspecified ulna styloid process, initial encounter for open fracture type I or II
S52.616CNondisplaced fracture of unspecified ulna styloid process, initial encounter for open fracture type IIIA, IIIB, or IIIC
S52.616DNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with routine healing
S52.616ENondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with routine healing
S52.616FNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S52.616GNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with delayed healing
S52.616HNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with delayed healing
S52.616JNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S52.616KNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with nonunion
S52.616MNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with nonunion
S52.616NNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S52.616PNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for closed fracture with malunion
S52.616QNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type I or II with malunion
S52.616RNondisplaced fracture of unspecified ulna styloid process, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S52.616SNondisplaced fracture of unspecified ulna styloid process, sequela

Code Hierarchy

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