S50-S59
Medium Complexity

Injuries to the thorax

Primary Specialty: Emergency Medicine
Last Updated: 2025-09-10

ICD-10 Codes (200)

199 billable
0 category headers
S51
Billable
Open wound of elbow and forearm
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S51.0
Billable
Open wound of elbow
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S51.00
Billable
Unspecified open wound of elbow
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S51.001
Billable
Unspecified open wound of right elbow
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S51.002
Billable
Unspecified open wound of left elbow
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S51.009
Billable
Unspecified open wound of unspecified elbow
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S51.01
Billable
Laceration without foreign body of elbow
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S51.011
Billable
Laceration without foreign body of right elbow
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S51.012
Billable
Laceration without foreign body of left elbow
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S51.019
Billable
Laceration without foreign body of unspecified elbow
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S51.02
Billable
Laceration with foreign body of elbow
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S51.021
Billable
Laceration with foreign body of right elbow
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S51.022
Billable
Laceration with foreign body of left elbow
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S51.029
Billable
Laceration with foreign body of unspecified elbow
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S51.03
Billable
Puncture wound without foreign body of elbow
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S51.031
Billable
Puncture wound without foreign body of right elbow
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S51.032
Billable
Puncture wound without foreign body of left elbow
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S51.039
Billable
Puncture wound without foreign body of unspecified elbow
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S51.04
Billable
Puncture wound with foreign body of elbow
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S51.041
Billable
Puncture wound with foreign body of right elbow
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S51.042
Billable
Puncture wound with foreign body of left elbow
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S51.049
Billable
Puncture wound with foreign body of unspecified elbow
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S51.05
Billable
Open bite of elbow
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S51.051
Billable
Open bite, right elbow
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S51.052
Billable
Open bite, left elbow
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S51.059
Billable
Open bite, unspecified elbow
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S51.8
Billable
Open wound of forearm
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S51.80
Billable
Unspecified open wound of forearm
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S51.801
Billable
Unspecified open wound of right forearm
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S51.802
Billable
Unspecified open wound of left forearm
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S51.809
Billable
Unspecified open wound of unspecified forearm
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S51.81
Billable
Laceration without foreign body of forearm
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S51.811
Billable
Laceration without foreign body of right forearm
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S51.812
Billable
Laceration without foreign body of left forearm
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S51.819
Billable
Laceration without foreign body of unspecified forearm
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S51.82
Billable
Laceration with foreign body of forearm
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S51.821
Billable
Laceration with foreign body of right forearm
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S51.822
Billable
Laceration with foreign body of left forearm
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S51.829
Billable
Laceration with foreign body of unspecified forearm
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S51.83
Billable
Puncture wound without foreign body of forearm
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S51.831
Billable
Puncture wound without foreign body of right forearm
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S51.832
Billable
Puncture wound without foreign body of left forearm
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S51.839
Billable
Puncture wound without foreign body of unspecified forearm
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S51.84
Billable
Puncture wound with foreign body of forearm
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S51.841
Billable
Puncture wound with foreign body of right forearm
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S51.842
Billable
Puncture wound with foreign body of left forearm
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S51.849
Billable
Puncture wound with foreign body of unspecified forearm
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S51.85
Billable
Open bite of forearm
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S51.851
Billable
Open bite of right forearm
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S51.852
Billable
Open bite of left forearm
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S51.859
Billable
Open bite of unspecified forearm
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S52
Fracture of forearm
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S52.0
Billable
Fracture of upper end of ulna
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S52.00
Billable
Unspecified fracture of upper end of ulna
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S52.001
Billable
Unspecified fracture of upper end of right ulna
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S52.002
Billable
Unspecified fracture of upper end of left ulna
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S52.009
Billable
Unspecified fracture of upper end of unspecified ulna
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S52.01
Billable
Torus fracture of upper end of ulna
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S52.011
Billable
Torus fracture of upper end of right ulna
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S52.012
Billable
Torus fracture of upper end of left ulna
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S52.019
Billable
Torus fracture of upper end of unspecified ulna
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S52.02
Billable
Fracture of olecranon process without intraarticular extension of ulna
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S52.021
Billable
Displaced fracture of olecranon process without intraarticular extension of right ulna
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S52.022
Billable
Displaced fracture of olecranon process without intraarticular extension of left ulna
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S52.023
Billable
Displaced fracture of olecranon process without intraarticular extension of unspecified ulna
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S52.024
Billable
Nondisplaced fracture of olecranon process without intraarticular extension of right ulna
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S52.025
Billable
Nondisplaced fracture of olecranon process without intraarticular extension of left ulna
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S52.026
Billable
Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna
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S52.03
Billable
Fracture of olecranon process with intraarticular extension of ulna
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S52.031
Billable
Displaced fracture of olecranon process with intraarticular extension of right ulna
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S52.032
Billable
Displaced fracture of olecranon process with intraarticular extension of left ulna
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S52.033
Billable
Displaced fracture of olecranon process with intraarticular extension of unspecified ulna
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S52.034
Billable
Nondisplaced fracture of olecranon process with intraarticular extension of right ulna
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S52.035
Billable
Nondisplaced fracture of olecranon process with intraarticular extension of left ulna
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S52.036
Billable
Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna
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S52.04
Billable
Fracture of coronoid process of ulna
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S52.041
Billable
Displaced fracture of coronoid process of right ulna
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S52.042
Billable
Displaced fracture of coronoid process of left ulna
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S52.043
Billable
Displaced fracture of coronoid process of unspecified ulna
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S52.044
Billable
Nondisplaced fracture of coronoid process of right ulna
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S52.045
Billable
Nondisplaced fracture of coronoid process of left ulna
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S52.046
Billable
Nondisplaced fracture of coronoid process of unspecified ulna
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S52.09
Billable
Other fracture of upper end of ulna
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S52.091
Billable
Other fracture of upper end of right ulna
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S52.092
Billable
Other fracture of upper end of left ulna
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S52.099
Billable
Other fracture of upper end of unspecified ulna
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S52.1
Billable
Fracture of upper end of radius
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S52.10
Billable
Unspecified fracture of upper end of radius
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S52.101
Billable
Unspecified fracture of upper end of right radius
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S52.102
Billable
Unspecified fracture of upper end of left radius
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S52.109
Billable
Unspecified fracture of upper end of unspecified radius
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S52.11
Billable
Torus fracture of upper end of radius
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S52.111
Billable
Torus fracture of upper end of right radius
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S52.112
Billable
Torus fracture of upper end of left radius
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S52.119
Billable
Torus fracture of upper end of unspecified radius
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S52.12
Billable
Fracture of head of radius
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S52.121
Billable
Displaced fracture of head of right radius
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S52.122
Billable
Displaced fracture of head of left radius
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S52.123
Billable
Displaced fracture of head of unspecified radius
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S52.124
Billable
Nondisplaced fracture of head of right radius
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S52.125
Billable
Nondisplaced fracture of head of left radius
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S52.126
Billable
Nondisplaced fracture of head of unspecified radius
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S52.13
Billable
Fracture of neck of radius
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S52.131
Billable
Displaced fracture of neck of right radius
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S52.132
Billable
Displaced fracture of neck of left radius
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S52.133
Billable
Displaced fracture of neck of unspecified radius
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S52.134
Billable
Nondisplaced fracture of neck of right radius
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S52.135
Billable
Nondisplaced fracture of neck of left radius
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S52.136
Billable
Nondisplaced fracture of neck of unspecified radius
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S52.18
Billable
Other fracture of upper end of radius
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S52.181
Billable
Other fracture of upper end of right radius
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S52.182
Billable
Other fracture of upper end of left radius
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S52.189
Billable
Other fracture of upper end of unspecified radius
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S52.2
Billable
Fracture of shaft of ulna
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S52.20
Billable
Unspecified fracture of shaft of ulna
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S52.201
Billable
Unspecified fracture of shaft of right ulna
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S52.202
Billable
Unspecified fracture of shaft of left ulna
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S52.209
Billable
Unspecified fracture of shaft of unspecified ulna
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S52.21
Billable
Greenstick fracture of shaft of ulna
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S52.211
Billable
Greenstick fracture of shaft of right ulna
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S52.212
Billable
Greenstick fracture of shaft of left ulna
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S52.219
Billable
Greenstick fracture of shaft of unspecified ulna
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S52.22
Billable
Transverse fracture of shaft of ulna
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S52.221
Billable
Displaced transverse fracture of shaft of right ulna
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S52.222
Billable
Displaced transverse fracture of shaft of left ulna
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S52.223
Billable
Displaced transverse fracture of shaft of unspecified ulna
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S52.224
Billable
Nondisplaced transverse fracture of shaft of right ulna
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S52.225
Billable
Nondisplaced transverse fracture of shaft of left ulna
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S52.226
Billable
Nondisplaced transverse fracture of shaft of unspecified ulna
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S52.23
Billable
Oblique fracture of shaft of ulna
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S52.231
Billable
Displaced oblique fracture of shaft of right ulna
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S52.232
Billable
Displaced oblique fracture of shaft of left ulna
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S52.233
Billable
Displaced oblique fracture of shaft of unspecified ulna
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S52.234
Billable
Nondisplaced oblique fracture of shaft of right ulna
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S52.235
Billable
Nondisplaced oblique fracture of shaft of left ulna
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S52.236
Billable
Nondisplaced oblique fracture of shaft of unspecified ulna
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S52.24
Billable
Spiral fracture of shaft of ulna
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S52.241
Billable
Displaced spiral fracture of shaft of ulna, right arm
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S52.242
Billable
Displaced spiral fracture of shaft of ulna, left arm
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S52.243
Billable
Displaced spiral fracture of shaft of ulna, unspecified arm
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S52.244
Billable
Nondisplaced spiral fracture of shaft of ulna, right arm
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S52.245
Billable
Nondisplaced spiral fracture of shaft of ulna, left arm
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S52.246
Billable
Nondisplaced spiral fracture of shaft of ulna, unspecified arm
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S52.25
Billable
Comminuted fracture of shaft of ulna
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S52.251
Billable
Displaced comminuted fracture of shaft of ulna, right arm
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S52.252
Billable
Displaced comminuted fracture of shaft of ulna, left arm
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S52.253
Billable
Displaced comminuted fracture of shaft of ulna, unspecified arm
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S52.254
Billable
Nondisplaced comminuted fracture of shaft of ulna, right arm
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S52.255
Billable
Nondisplaced comminuted fracture of shaft of ulna, left arm
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S52.256
Billable
Nondisplaced comminuted fracture of shaft of ulna, unspecified arm
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S52.26
Billable
Segmental fracture of shaft of ulna
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S52.261
Billable
Displaced segmental fracture of shaft of ulna, right arm
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S52.262
Billable
Displaced segmental fracture of shaft of ulna, left arm
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S52.263
Billable
Displaced segmental fracture of shaft of ulna, unspecified arm
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S52.264
Billable
Nondisplaced segmental fracture of shaft of ulna, right arm
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S52.265
Billable
Nondisplaced segmental fracture of shaft of ulna, left arm
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S52.266
Billable
Nondisplaced segmental fracture of shaft of ulna, unspecified arm
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S52.27
Billable
Monteggia's fracture of ulna
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S52.271
Billable
Monteggia's fracture of right ulna
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S52.272
Billable
Monteggia's fracture of left ulna
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S52.279
Billable
Monteggia's fracture of unspecified ulna
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S52.28
Billable
Bent bone of ulna
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S52.281
Billable
Bent bone of right ulna
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S52.282
Billable
Bent bone of left ulna
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S52.283
Billable
Bent bone of unspecified ulna
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S52.29
Billable
Other fracture of shaft of ulna
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S52.291
Billable
Other fracture of shaft of right ulna
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S52.292
Billable
Other fracture of shaft of left ulna
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S52.299
Billable
Other fracture of shaft of unspecified ulna
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S52.3
Billable
Fracture of shaft of radius
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S52.30
Billable
Unspecified fracture of shaft of radius
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S52.301
Billable
Unspecified fracture of shaft of right radius
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S52.302
Billable
Unspecified fracture of shaft of left radius
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S52.309
Billable
Unspecified fracture of shaft of unspecified radius
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S52.31
Billable
Greenstick fracture of shaft of radius
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S52.311
Billable
Greenstick fracture of shaft of radius, right arm
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S52.312
Billable
Greenstick fracture of shaft of radius, left arm
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S52.319
Billable
Greenstick fracture of shaft of radius, unspecified arm
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S52.32
Billable
Transverse fracture of shaft of radius
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S52.321
Billable
Displaced transverse fracture of shaft of right radius
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S52.322
Billable
Displaced transverse fracture of shaft of left radius
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S52.323
Billable
Displaced transverse fracture of shaft of unspecified radius
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S52.324
Billable
Nondisplaced transverse fracture of shaft of right radius
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S52.325
Billable
Nondisplaced transverse fracture of shaft of left radius
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S52.326
Billable
Nondisplaced transverse fracture of shaft of unspecified radius
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S52.33
Billable
Oblique fracture of shaft of radius
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S52.331
Billable
Displaced oblique fracture of shaft of right radius
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S52.332
Billable
Displaced oblique fracture of shaft of left radius
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S52.333
Billable
Displaced oblique fracture of shaft of unspecified radius
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S52.334
Billable
Nondisplaced oblique fracture of shaft of right radius
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S52.335
Billable
Nondisplaced oblique fracture of shaft of left radius
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S52.336
Billable
Nondisplaced oblique fracture of shaft of unspecified radius
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S52.34
Billable
Spiral fracture of shaft of radius
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S52.341
Billable
Displaced spiral fracture of shaft of radius, right arm
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S52.342
Billable
Displaced spiral fracture of shaft of radius, left arm
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S52.343
Billable
Displaced spiral fracture of shaft of radius, unspecified arm
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S52.344
Billable
Nondisplaced spiral fracture of shaft of radius, right arm
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S52.345
Billable
Nondisplaced spiral fracture of shaft of radius, left arm
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S52.346
Billable
Nondisplaced spiral fracture of shaft of radius, unspecified arm
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S52.35
Billable
Comminuted fracture of shaft of radius
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (1)

S06.2X9A
Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter

Revised Codes (1)

S06.0X0A
Concussion without loss of consciousness - updated post-concussion syndrome correlation

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • •FY 2025: Routine maintenance updates with minor terminology clarifications
  • •FY 2024: Enhanced specificity requirements for certain code ranges
  • •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • •Proposed updates pending review by Coordination and Maintenance Committee
  • •Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • •Review all FY 2026 updates for S50-S59 codes before implementation
  • •Always verify the most current codes in the ICD-10-CM manual
  • •Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 category S50-S59 pertains to injuries to the thorax. This range includes codes for various types of injuries such as fractures, dislocations, sprains and strains, and other internal injuries of the thorax. These codes are used to document the nature, location, and severity of the injury, as well as any complications or associated conditions.

Key Usage Points:

  • •Always specify the location of the injury within the thorax.
  • •Include details about the cause of the injury, if known.
  • •Document any associated conditions or complications.
  • •Use additional codes to indicate any relevant external causes.
  • •Remember to code also for any related surgical procedures.

Coding Guidelines

When to Use:

  • ✓When a patient presents with a thoracic injury.
  • ✓For documentation of postoperative complications related to thoracic surgery.
  • ✓When a patient has a chronic condition resulting from a previous thoracic injury.
  • ✓In cases of thoracic injuries due to external causes such as accidents or assaults.

When NOT to Use:

  • ✗For congenital thoracic anomalies.
  • ✗When the injury is not located in the thorax.
  • ✗For conditions that are not injuries, such as infections or tumors.
  • ✗When the injury is only suspected, but not confirmed.

Code Exclusions

Always verify exclusions by cross-referencing with the patient's medical record and the ICD-10 manual.

Documentation Requirements

Documentation for thoracic injuries should include the nature, location, and severity of the injury, as well as any associated conditions or complications. The cause of the injury should also be documented, if known.

Clinical Information:

  • •Nature of the injury
  • •Location of the injury within the thorax
  • •Severity of the injury
  • •Associated conditions or complications
  • •Cause of the injury, if known

Supporting Evidence:

  • •Medical history
  • •Physical examination findings
  • •Imaging studies
  • •Operative reports
Good Documentation Example:

Patient presents with a fractured rib on the right side due to a fall. The fracture is confirmed by X-ray.

Poor Documentation Example:

Patient has chest pain.

Common Documentation Errors:

  • âš Not specifying the location of the injury
  • âš Omitting details about the cause of the injury
  • âš Not documenting associated conditions or complications
  • âš Using an incorrect code for the nature of the injury

Range Statistics

10
Total Codes
199
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:19

Coding Complexity

Medium
Complexity Rating

Coding for thoracic injuries can be complex due to the need to accurately capture the nature, location, and severity of the injury, as well as any associated conditions or complications. The cause of the injury also needs to be coded, if known. There are many subcategories within this range, which can make navigation challenging.

Key Factors:
  • â–¸Determining the correct code for the nature of the injury
  • â–¸Identifying and coding for associated conditions or complications
  • â–¸Coding for the cause of the injury, if known
  • â–¸Navigating the many subcategories within this range

Specialty Focus

These codes are primarily used by emergency medicine, general surgery, and orthopedics. They may also be used by other specialties in the context of multi-disciplinary care.

Primary Specialties:
Emergency Medicine
40%
General Surgery
30%
Orthopedics
30%
Clinical Scenarios:
  • • A patient presents to the ER with a stab wound to the chest.
  • • A patient is seen in the clinic for follow-up after surgical repair of a fractured sternum.
  • • A patient is admitted to the hospital for management of complications from a previous thoracic injury.
  • • A patient is seen in the orthopedic clinic for ongoing management of a chronic condition resulting from a previous thoracic injury.

Resources & References

Resources for coding thoracic injuries include the ICD-10 manual, professional coding organizations, and continuing education courses. Clinical references such as textbooks and journal articles can also be useful.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • American Health Information Management Association (AHIMA)
  • American Academy of Professional Coders (AAPC)

Clinical References:

  • Harrison's Principles of Internal Medicine
  • Journal of Trauma and Acute Care Surgery

Educational Materials:

  • ICD-10 coding courses
  • Webinars and workshops on injury coding
  • Coding practice exercises

Frequently Asked Questions

How do I code for a thoracic injury with an unknown cause?

If the cause of the injury is unknown, you can use a code from the 'unspecified' subcategory. However, always strive to document as much information as possible.