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ICD-10 Guide
ICD-10 CodesS52.023

S52.023

Billable

Displaced fracture of olecranon process without intraarticular extension of unspecified ulna

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

Code Description

ICD-10 S52.023 is a billable code used to indicate a diagnosis of displaced fracture of olecranon process without intraarticular extension of unspecified ulna.

Key Diagnostic Point:

The olecranon process is the bony prominence of the ulna at the elbow, and a displaced fracture of this area typically occurs due to trauma, such as a fall onto an outstretched hand or direct impact. This type of fracture is characterized by the separation of the bone fragments, which can lead to instability in the elbow joint. Unlike fractures that extend into the joint (intraarticular), this specific fracture does not compromise the joint surface, which is crucial for maintaining joint function. Symptoms often include severe 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 involve conservative management with immobilization or surgical intervention, particularly if the fracture is significantly displaced. Surgical options may include fixation with plates and screws or tension band wiring to restore stability and function. Rehabilitation is essential post-treatment to regain strength and mobility in the elbow.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Understanding the implications of intraarticular vs. extraarticular fractures
  • Identifying the specific location of the fracture on the ulna
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify the mechanism of injury
  • Misclassification of intraarticular vs. extraarticular fractures
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up assessments are necessary to support the diagnosis and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.

Billing Considerations

Ensure that the surgical approach and fixation method are clearly documented to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture fixation to regain range of motion and strength.

Billing Considerations

Document the patient's progress and any complications that may arise during rehabilitation.

Coding Guidelines

Inclusion Criteria

Use S52.023 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as displaced and specifying that there is no intraarticular extension
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S52.023 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 a displaced olecranon fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons should ensure all surgical details are documented for accurate coding.

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. S52.023 provides a clear distinction for displaced olecranon fractures without intraarticular involvement, 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. S52.023 provides a clear distinction for displaced olecranon fractures without intraarticular involvement, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.023 provides a clear distinction for displaced olecranon fractures without intraarticular involvement, 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 difference between S52.023 and S52.021?

S52.023 refers to a displaced fracture of the olecranon process without intraarticular extension, while S52.021 indicates a displaced fracture with intraarticular extension, which has different implications for treatment and coding.