ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS52.101

S52.101

Billable

Unspecified fracture of upper end of right radius

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

Code Description

ICD-10 S52.101 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of right radius.

Key Diagnostic Point:

The unspecified fracture of the upper end of the right radius typically refers to a break in the proximal portion of the radius bone, which is located near the elbow joint. This type of fracture can occur due to various mechanisms, including falls, direct trauma, or sports injuries. The upper end of the radius plays a crucial role in the stability and function of the elbow joint, and fractures in this area can lead to complications such as limited range of motion, pain, and potential for malunion or nonunion. Diagnosis is usually confirmed through physical examination and imaging studies, such as X-rays or CT scans, which help to assess the fracture's location and severity. Treatment options may vary based on the fracture's characteristics and may include conservative management with immobilization or surgical intervention for more complex cases. Understanding the implications of this fracture is essential for effective management and rehabilitation, as it can significantly impact the patient's functional abilities and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Potential for associated soft tissue injuries
  • Need for precise documentation of fracture characteristics
  • Differentiation from other upper extremity fractures

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify laterality or type of fracture
  • Inconsistent coding with treatment provided
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute pain and swelling after trauma.

Billing Considerations

Document mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.101 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture's specifics
  • Include laterality and any associated conditions

Exclusion Criteria

Do NOT use S52.101 When
  • Exclude codes for fractures that are more specifically defined

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radial head fracture

Clinical Scenario

Used when a closed reduction is performed for a radial head fracture.

Documentation Requirements

Document the type of fracture, treatment provided, and any follow-up care.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of fractures, improving the specificity of patient records. However, the unspecified nature of S52.101 may lead to challenges in capturing the full clinical picture, potentially affecting reimbursement and care quality.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of fractures, improving the specificity of patient records. However, the unspecified nature of S52.101 may lead to challenges in capturing the full clinical picture, potentially affecting reimbursement and care quality.

Reimbursement & Billing Impact

reimbursement and care quality.

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 specifying the side of the fracture?

Specifying the side of the fracture is crucial for accurate coding and treatment planning. It ensures that the correct code is used and helps avoid confusion in clinical documentation and billing.