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ICD-10 Guide
ICD-10 CodesS52.043

S52.043

Billable

Displaced fracture of coronoid process of unspecified ulna

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

Code Description

ICD-10 S52.043 is a billable code used to indicate a diagnosis of displaced fracture of coronoid process of unspecified ulna.

Key Diagnostic Point:

A displaced fracture of the coronoid process of the ulna is a specific type of fracture that occurs at the elbow joint, affecting the coronoid process, which is a bony prominence on the ulna. This injury is often the result of a fall onto an outstretched hand or a direct blow to the elbow. The displacement of the fracture can lead to instability in the elbow joint, which may compromise the function of the arm and lead to complications such as limited range of motion, pain, and potential for chronic instability. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the fracture and any associated injuries. Treatment may vary from conservative management, including immobilization and physical therapy, to surgical intervention, such as fixation procedures, to restore stability and function to the elbow. The coronoid process plays a crucial role in the stability of the elbow joint, and fractures in this area can significantly impact the patient's ability to perform daily activities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture displacement and associated injuries
  • Need for precise imaging interpretation
  • Potential for surgical intervention and fixation procedures
  • Documentation of functional limitations and treatment plans

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Lack of clarity in treatment plans and follow-up care
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative care notes.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture classification and treatment approach.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S52.043 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity in the location and type of fracture
  • Ensure to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S52.043 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24301CPT Code

Open treatment of fracture of coronoid process

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the coronoid process. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the coronoid process. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the coronoid process. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 coronoid process in elbow stability?

The coronoid process is crucial for maintaining the stability of the elbow joint, particularly during flexion and extension. Fractures in this area can lead to joint instability and functional impairment.