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ICD-10 Guide
ICD-10 CodesS52.182

S52.182

Billable

Other fracture of upper end of left radius

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

Code Description

ICD-10 S52.182 is a billable code used to indicate a diagnosis of other fracture of upper end of left radius.

Key Diagnostic Point:

The S52.182 code refers to fractures occurring at the upper end of the left radius, which can result from various mechanisms such as falls, sports injuries, or direct trauma. These fractures can involve the radial head or neck and may be associated with elbow injuries, particularly in the context of elbow fractures. The upper end of the radius is crucial for forearm rotation and elbow stability, and fractures in this area can lead to complications such as limited range of motion, pain, and potential compartment syndrome. Compartment syndrome, a serious condition that can occur due to swelling and increased pressure within the muscle compartments, may necessitate urgent intervention. Treatment often involves orthopedic fixation procedures, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture. Proper alignment and stabilization are essential to restore function and prevent long-term complications. The management of these fractures requires careful assessment and may involve imaging studies such as X-rays or MRI to evaluate the extent of the injury and associated soft tissue damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations within the radius
  • Potential for associated injuries to the elbow joint
  • Need for precise documentation of fracture specifics
  • Variations in treatment approaches and fixation methods

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated elbow injuries
  • Misclassification of fracture type
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, location, and treatment plan, including imaging results.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the mechanism of injury and any associated complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute pain and swelling in the elbow after trauma.

Billing Considerations

Timely documentation is crucial for accurate coding and billing, especially in acute care settings.

Coding Guidelines

Inclusion Criteria

Use S52.182 When
  • According to ICD
  • 10 guidelines, S52
  • 182 should be used when the fracture is specifically identified as 'other' and is not classified under more specific codes
  • Coders must ensure that the documentation supports the diagnosis and treatment provided

Exclusion Criteria

Do NOT use S52.182 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of radial head fracture

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Operative notes detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation method.

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 diagnosis and treatment tracking. S52.182 provides granularity that was not available in ICD-9, facilitating better patient management and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of diagnosis and treatment tracking. S52.182 provides granularity that was not available in ICD-9, facilitating better patient management and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of diagnosis and treatment tracking. S52.182 provides granularity that was not available in ICD-9, facilitating better patient management and outcomes.

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 coding S52.182 accurately?

Accurate coding of S52.182 is crucial for appropriate reimbursement, tracking treatment outcomes, and ensuring that patients receive the necessary follow-up care. It also helps in identifying trends in injury patterns and treatment efficacy.