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ICD-10 Guide
ICD-10 CodesS52.02

S52.02

Billable

Fracture of olecranon process without intraarticular extension of ulna

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

Code Description

ICD-10 S52.02 is a billable code used to indicate a diagnosis of fracture of olecranon process without intraarticular extension of ulna.

Key Diagnostic Point:

The olecranon process is the bony prominence of the ulna at the elbow, and fractures in this area are common, particularly in older adults and those involved in sports or accidents. A fracture of the olecranon process without intraarticular extension indicates that the fracture does not extend into the elbow joint itself, which is significant for treatment and prognosis. These fractures can result from direct trauma, such as a fall onto an outstretched hand or a direct blow to the elbow. Symptoms typically include localized pain, swelling, and limited range of motion in the elbow. Diagnosis is usually confirmed through physical examination and imaging studies, such as X-rays. Treatment may vary from conservative management, including immobilization and physical therapy, to surgical intervention, particularly if there is significant displacement or instability. Understanding the implications of this fracture type is crucial for effective management and rehabilitation, as well as for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intraarticular and extraarticular fractures
  • Understanding the implications of fracture displacement
  • Knowledge of associated injuries to surrounding structures
  • Variability in treatment approaches based on fracture severity

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to specify whether the fracture is displaced or non-displaced
  • Misclassification of intraarticular versus extraarticular fractures
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or direct trauma requiring surgical fixation.

Billing Considerations

Ensure clarity on the type of fixation used and any associated procedures performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for range of motion and strength recovery.

Billing Considerations

Documenting the impact of the fracture on daily activities and the rehabilitation plan.

Coding Guidelines

Inclusion Criteria

Use S52.02 When
  • According to ICD
  • 10 guidelines, S52
  • 02 should be used when the fracture is confirmed as non
  • displaced and does not involve the joint
  • Documentation must clearly indicate the absence of intraarticular extension

Exclusion Criteria

Do NOT use S52.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of olecranon fracture

Clinical Scenario

Used when surgical intervention is required for displaced fractures.

Documentation Requirements

Operative report detailing the procedure and any fixation methods used.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding based on the surgical approach.

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. S52.02 provides clarity in distinguishing between types of olecranon fractures, which is essential for treatment planning.

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. S52.02 provides clarity in distinguishing between types of olecranon fractures, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.02 provides clarity in distinguishing between types of olecranon fractures, which is essential for treatment planning.

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 is the significance of the olecranon process in elbow fractures?

The olecranon process is crucial for elbow stability and function, and fractures in this area can lead to significant impairment if not treated properly.