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ICD-10 Guide
ICD-10 CodesS52.126

S52.126

Billable

Nondisplaced fracture of head of unspecified radius

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

Code Description

ICD-10 S52.126 is a billable code used to indicate a diagnosis of nondisplaced fracture of head of unspecified radius.

Key Diagnostic Point:

A nondisplaced fracture of the head of the radius is a common injury often resulting from falls or direct trauma to the elbow. This type of fracture occurs when the bone cracks but maintains its proper alignment, meaning the fracture does not displace the bone fragments. The radius is one of the two long bones in the forearm, and its head is located near the elbow joint, playing a crucial role in forearm rotation and elbow stability. Symptoms typically include localized pain, swelling, and limited range of motion in the elbow. Diagnosis is usually confirmed through physical examination and imaging studies such as X-rays. Treatment may involve conservative management with immobilization or, in some cases, surgical intervention if complications arise. Understanding the implications of this fracture is essential, as it can lead to complications such as stiffness or post-traumatic arthritis if not managed appropriately. The management of elbow fractures, particularly in pediatric populations, requires careful consideration of growth plate involvement and potential long-term functional outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality across providers
  • Need for precise imaging interpretation
  • Differentiation from similar fracture types
  • Potential for associated soft tissue injuries

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality
  • Lack of imaging reports in the medical record
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or direct trauma to the elbow.

Billing Considerations

Attention to the patient's age and activity level, as these factors influence treatment decisions.

Emergency Medicine

Documentation Requirements

Thorough initial assessment notes, including mechanism of injury and physical examination findings.

Common Clinical Scenarios

Patients presenting with acute elbow pain following trauma.

Billing Considerations

Rapid assessment and documentation are crucial for timely treatment and coding.

Coding Guidelines

Inclusion Criteria

Use S52.126 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment and follow
  • up care

Exclusion Criteria

Do NOT use S52.126 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Closed treatment of fracture of the radius

Clinical Scenario

Used when a nondisplaced fracture is treated without surgery.

Documentation Requirements

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

Specialty Considerations

Orthopedic specialists should ensure detailed operative notes if surgery is performed.

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 for nondisplaced fractures like S52.126.

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 for nondisplaced fractures like S52.126.

Reimbursement & Billing Impact

reimbursement processes for nondisplaced fractures like S52.126.

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 remains aligned, while a displaced fracture involves the bone fragments moving out of alignment.