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ICD-10 Guide
ICD-10 CodesS52.136

S52.136

Billable

Nondisplaced fracture of neck of unspecified radius

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

Code Description

ICD-10 S52.136 is a billable code used to indicate a diagnosis of nondisplaced fracture of neck of unspecified radius.

Key Diagnostic Point:

A nondisplaced fracture of the neck of the radius is characterized by a break in the bone that does not result in the bone fragments being misaligned. This type of fracture typically occurs due to a fall onto an outstretched hand or direct trauma to the elbow region. The neck of the radius is located just below the head of the radius, which is crucial for forearm rotation and elbow stability. Patients may present with pain, swelling, and limited range of motion in the elbow and forearm. Diagnosis is usually confirmed through imaging studies such as X-rays, which can reveal the fracture without displacement. Treatment often involves conservative management, including immobilization with 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

  • Variability in documentation of fracture type and location
  • Need for precise imaging reports to confirm nondisplacement
  • Differentiation from other radius/ulna injuries
  • Potential for associated soft tissue injuries

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated injuries
  • Misclassification of fracture type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, imaging reports, and follow-up assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical fixation.

Billing Considerations

Ensure clear documentation of fracture type and treatment plan to support coding.

Physical Therapy

Documentation Requirements

Initial evaluation notes, progress reports, and discharge summaries detailing rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for range of motion and strength.

Billing Considerations

Document specific therapeutic interventions and patient responses to treatment.

Coding Guidelines

Inclusion Criteria

Use S52.136 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the use of seventh characters to indicate the encounter type (initial, subsequent, or sequela)
  • Ensure accurate documentation of the fracture's location and type

Exclusion Criteria

Do NOT use S52.136 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radius fracture

Clinical Scenario

Used when a nondisplaced fracture is treated conservatively.

Documentation Requirements

Document the method of treatment and follow-up care.

Specialty Considerations

Orthopedic documentation should detail the fracture type and 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 data collection and reimbursement processes. S52.136 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcomes 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. S52.136 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S52.136 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcomes 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 a misalignment of the bone fragments.