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v1.0.0
ICD-10 Guide
ICD-10 CodesS52.0

S52.0

Billable

Fracture of upper end of ulna

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S52.0 is a billable code used to indicate a diagnosis of fracture of upper end of ulna.

Key Diagnostic Point:

The fracture of the upper end of the ulna typically occurs near the elbow joint and can result from direct trauma or falls. This injury is often associated with fractures of the radius, particularly in cases of a forearm fracture. The upper end of the ulna includes the olecranon and coronoid processes, which are critical for elbow stability and function. Symptoms may include pain, swelling, and limited range of motion in the elbow. Complications can arise, such as compartment syndrome, which is a serious condition that occurs when pressure within the muscles builds to dangerous levels, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws, to stabilize the fracture and promote healing. Rehabilitation is essential for restoring function and strength to the elbow joint post-injury. Accurate coding for this condition is crucial for proper treatment reimbursement and tracking of orthopedic injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types (e.g., simple vs. complex fractures)
  • Potential for associated injuries (e.g., radius fractures, ligament injuries)
  • Need for detailed documentation of the mechanism of injury
  • Variations in treatment approaches (conservative vs. surgical)

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture type (e.g., open vs. closed)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute elbow pain and swelling after trauma.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to capture the specific site and type of fracture
  • Include any associated conditions such as compartment syndrome if applicable

Exclusion Criteria

Do NOT use S52.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of fracture of ulna

Clinical Scenario

Used when surgical intervention is performed for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S52.0 provides a clear designation for fractures of the upper end of the ulna, facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S52.0 provides a clear designation for fractures of the upper end of the ulna, facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. S52.0 provides a clear designation for fractures of the upper end of the ulna, facilitating better tracking of treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of an upper end ulna fracture?

Common causes include falls, direct trauma from sports injuries, and motor vehicle accidents. Osteoporosis can also increase the risk of fractures in older adults.