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ICD-10 Guide
ICD-10 CodesS52.125

S52.125

Billable

Nondisplaced fracture of head of left radius

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

Code Description

ICD-10 S52.125 is a billable code used to indicate a diagnosis of nondisplaced fracture of head of left radius.

Key Diagnostic Point:

A nondisplaced fracture of the head of the left 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 activities involving a fall onto an outstretched hand. Clinically, patients may present with localized pain, swelling, and limited range of motion at the elbow joint. The head of the radius plays a crucial role in the stability and function of the elbow, allowing for pronation and supination of the forearm. Diagnosis typically involves physical examination and imaging studies, such as X-rays, to confirm the fracture and rule out associated injuries. Treatment may include conservative management with immobilization in a splint or cast, followed by rehabilitation exercises to restore function. In some cases, surgical intervention may be necessary if there are complications or if the fracture does not heal properly. Understanding the implications of this injury is essential for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of the injury
  • Potential for associated injuries in the elbow region
  • Variability in treatment approaches based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture as displaced
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including type of fixation used.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure accurate documentation of fracture type and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Post-fracture rehabilitation and management of complications.

Billing Considerations

Focus on functional outcomes and patient progress.

Coding Guidelines

Inclusion Criteria

Use S52.125 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include details on treatment and follow
  • up care

Exclusion Criteria

Do NOT use S52.125 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radial head fracture

Clinical Scenario

Used when a nondisplaced fracture is treated conservatively.

Documentation Requirements

Document the type of fracture and treatment plan.

Specialty Considerations

Orthopedic documentation should include details of the fracture and treatment.

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 data collection and reimbursement processes. S52.125 provides clarity in coding nondisplaced fractures, which can enhance patient care and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S52.125 provides clarity in coding nondisplaced fractures, which can enhance patient care and treatment tracking.

Reimbursement & Billing Impact

reimbursement processes. S52.125 provides clarity in coding nondisplaced fractures, which can enhance patient care and treatment tracking.

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.