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ICD-10 Guide
ICD-10 CodesS52.092

S52.092

Billable

Other fracture of upper end of left ulna

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

Code Description

ICD-10 S52.092 is a billable code used to indicate a diagnosis of other fracture of upper end of left ulna.

Key Diagnostic Point:

The S52.092 code refers to fractures occurring at the upper end of the left ulna, which is a common injury associated with falls or direct trauma to the elbow region. These fractures can vary in severity, from simple hairline fractures to complex fractures involving multiple fragments. The ulna, one of the two long bones in the forearm, plays a crucial role in the stability and function of the elbow joint. Injuries to this area can lead to complications such as limited range of motion, pain, and potential nerve damage. In some cases, fractures may be associated with compartment syndrome, 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, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture and promote healing. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and severity
  • Potential for associated complications like compartment syndrome
  • Need for precise documentation of fracture location and type
  • Variations in treatment approaches and fixation methods

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated conditions like compartment syndrome
  • Incorrect coding of laterality (left vs. right)
  • Misclassification of fracture type (e.g., simple vs. complex)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly specify the type of fracture and any fixation procedures 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

Timely documentation is critical to capture the nature of the injury and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S52.092 When
  • According to ICD
  • 10 guidelines, S52
  • 092 should be used when documenting fractures of the upper end of the left ulna that do not fall into more specific categories
  • It is important to ensure that the documentation supports the diagnosis and includes details about the fracture type and any associated conditions

Exclusion Criteria

Do NOT use S52.092 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of humeral fracture, with or without internal fixation

Clinical Scenario

Used when surgical intervention is required for complex fractures.

Documentation Requirements

Operative reports detailing the procedure and fixation method.

Specialty Considerations

Orthopedic surgeons must provide comprehensive documentation to support the procedure.

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 claims and enhancing patient care through better data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and enhancing patient care through better data collection and analysis.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 coding S52.092 accurately?

Accurate coding of S52.092 is crucial for appropriate treatment planning, reimbursement, and tracking of injury patterns. It ensures that healthcare providers receive proper compensation for the care provided and helps in the analysis of injury trends for public health.