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ICD-10 Guide
ICD-10 CodesS52.046

S52.046

Billable

Nondisplaced fracture of coronoid process of unspecified ulna

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

Code Description

ICD-10 S52.046 is a billable code used to indicate a diagnosis of nondisplaced fracture of coronoid process of unspecified ulna.

Key Diagnostic Point:

A nondisplaced fracture of the coronoid process of the ulna is a specific type of elbow injury where the fracture occurs at the coronoid process, a bony prominence on the ulna that plays a crucial role in stabilizing the elbow joint. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. Such fractures often result from falls onto an outstretched hand or direct trauma to the elbow. Clinically, patients may present with pain, swelling, and limited range of motion in the elbow. Diagnosis is typically confirmed through imaging studies, such as X-rays or CT scans, which can reveal the fracture without displacement. Treatment may involve conservative management with immobilization or, in some cases, surgical intervention if instability is present. Understanding the implications of this fracture is essential for effective management and rehabilitation, as it can impact elbow function and stability if not properly addressed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture types and locations
  • Need for precise imaging interpretation
  • Differentiation from other types of elbow fractures
  • Potential for associated injuries requiring additional coding

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries
  • Misinterpretation of imaging results
  • Inconsistent terminology used in clinical notes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes if applicable, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity in the documentation of fracture type and treatment plan to avoid coding errors.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute elbow pain following trauma.

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use S52.046 When
  • According to ICD
  • 10 coding guidelines, S52
  • 046 should be used when the fracture is confirmed as nondisplaced and specific to the coronoid process of the ulna
  • Coders should ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S52.046 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of fracture of coronoid process of ulna

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Surgical notes detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coronoid process, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coronoid process, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coronoid process, which enhances the accuracy of patient records and treatment plans.

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 a nondisplaced fracture of the coronoid process?

A nondisplaced fracture of the coronoid process is significant because it can affect elbow stability and function. Proper diagnosis and management are crucial to prevent complications.