ICD-10 category · Chapter XIX · S50-S59

S52 Fracture of forearm

31 codes under S52 in the South African Master Industry Table 2021, 20 valid for clinical use; 20 marked as a Prescribed Minimum Benefit.

Valid: the code is at its most specific level and may go on an account. Heading only: code to a more specific entry beneath it. PMB and CDL: a Prescribed Minimum Benefit or Chronic Disease List condition per the Council for Medical Schemes. † dagger and * asterisk codes are used as a pair. How to read the table
CodeDescriptionUseBenefits
S52Fracture of forearmHeading only—
S52.0Fracture of upper end of ulnaHeading only—
S52.00Fracture of upper end of ulna, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.01Fracture of upper end of ulna, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.1Fracture of upper end of radiusHeading only—
S52.10Fracture of upper end of radius, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.11Fracture of upper end of radius, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.2Fracture of shaft of ulnaHeading only—
S52.20Fracture of shaft of ulna, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.21Fracture of shaft of ulna, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.3Fracture of shaft of radiusHeading only—
S52.30Fracture of shaft of radius, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.31Fracture of shaft of radius, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.4Fracture of shafts of both ulna and radiusHeading only—
S52.40Fracture of shafts of both ulna and radius, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.41Fracture of shafts of both ulna and radius, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.5Fracture of lower end of radiusHeading only—
S52.50Fracture of lower end of radius, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.51Fracture of lower end of radius, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.6Fracture of lower end of both ulna and radiusHeading only—
S52.60Fracture of lower end of both ulna and radius, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.61Fracture of lower end of both ulna and radius, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.7Multiple fractures of forearmHeading only—
S52.70Multiple fractures of forearm, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.71Multiple fractures of forearm, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.8Fracture of other parts of forearmHeading only—
S52.80Fracture of other parts of forearm, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.81Fracture of other parts of forearm, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S52.9Fracture of forearm, part unspecifiedHeading only—
S52.90Fracture of forearm, part unspecified, closedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
S52.91Fracture of forearm, part unspecified, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
Prescribed Minimum Benefits in S52. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.

Source and terms

Reproduced from the national table, unaltered.

The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page

Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.

ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.

Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.

Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.

This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.

In GreenNotes

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