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ICD-10 Guide
ICD-10 CodesS52.124

S52.124

Billable

Nondisplaced fracture of head of right radius

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

Code Description

ICD-10 S52.124 is a billable code used to indicate a diagnosis of nondisplaced fracture of head of right radius.

Key Diagnostic Point:

A nondisplaced fracture of the head of the right radius is characterized by a break in the bone that does not result in the bone fragments being misaligned. This type of fracture often occurs due to falls or direct trauma to the elbow region, particularly in adults and children. The head of the radius is crucial for the elbow's range of motion and stability, allowing for pronation and supination of the forearm. Symptoms typically include localized pain, swelling, and limited mobility in the elbow joint. Diagnosis is usually confirmed through physical examination and imaging studies, such as X-rays, which can reveal the fracture without displacement. Treatment often involves conservative management, including immobilization with a splint or brace, followed by physical therapy to restore function. In some cases, surgical intervention may be necessary if there are associated injuries or complications, such as compartment syndrome, which can occur if swelling leads to increased pressure within the muscle compartments of the forearm.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical significance of the radius and ulna
  • Recognizing associated injuries, such as ligament tears or compartment syndrome
  • Navigating treatment options and their documentation requirements

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to document associated injuries or complications
  • Misinterpretation of imaging results
  • Inconsistent coding of treatment procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Physical Therapy

Documentation Requirements

Progress notes detailing the patient's rehabilitation plan, response to therapy, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following a nondisplaced fracture, focusing on restoring range of motion and strength.

Billing Considerations

Document any limitations in mobility and the patient's adherence to the therapy regimen.

Coding Guidelines

Inclusion Criteria

Use S52.124 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and any associated conditions
  • Include details on the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S52.124 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Closed treatment of fracture of radius and ulna

Clinical Scenario

Used when conservative treatment is provided for a nondisplaced fracture.

Documentation Requirements

Document the method of treatment and any follow-up care.

Specialty Considerations

Orthopedic surgeons should ensure detailed notes on the treatment plan.

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 patient records and treatment plans. S52.124 provides clarity in documenting nondisplaced fractures, which aids in treatment and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S52.124 provides clarity in documenting nondisplaced fractures, which aids in treatment and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 a nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.