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ICD-10 Guide
ICD-10 CodesS52.226

S52.226

Billable

Nondisplaced transverse fracture of shaft of unspecified ulna

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

Code Description

ICD-10 S52.226 is a billable code used to indicate a diagnosis of nondisplaced transverse fracture of shaft of unspecified ulna.

Key Diagnostic Point:

A nondisplaced transverse fracture of the shaft of the ulna is characterized by a break in the bone that does not result in the bone fragments being displaced from their normal anatomical position. This type of fracture typically occurs due to direct trauma or a fall onto an outstretched hand, which is common in sports injuries or accidents. The ulna, one of the two long bones in the forearm, plays a crucial role in the stability and function of the wrist and elbow. While the fracture itself may not require surgical intervention if it is stable and well-aligned, careful monitoring is essential to prevent complications such as malunion or nonunion. In some cases, associated injuries to the radius or soft tissue may occur, necessitating a comprehensive evaluation. The management of this fracture often involves immobilization with a splint or cast, followed by rehabilitation to restore function. Understanding the implications of this fracture is vital for orthopedic specialists, as it can impact the patient's overall arm function and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture presentation and associated injuries
  • Need for precise documentation of fracture type and location
  • Potential for complications such as compartment syndrome
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to note associated injuries or complications
  • Incorrect coding of laterality or unspecified conditions
  • Lack of follow-up documentation on healing progress

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes are essential.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or direct trauma.

Billing Considerations

Documentation should clearly indicate the fracture type, treatment provided, and any 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 after trauma.

Billing Considerations

Ensure that the mechanism of injury is well documented to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use S52.226 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated conditions
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S52.226 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, ulna, without manipulation

Clinical Scenario

Used when a nondisplaced fracture is treated conservatively.

Documentation Requirements

Document the fracture type, treatment plan, and follow-up care.

Specialty Considerations

Orthopedic specialists should ensure accurate coding based on treatment provided.

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. S52.226 provides a clear distinction for nondisplaced fractures, which aids in clinical decision-making and resource allocation.

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. S52.226 provides a clear distinction for nondisplaced fractures, which aids in clinical decision-making and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. S52.226 provides a clear distinction for nondisplaced fractures, which aids in clinical decision-making and resource allocation.

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 displaced and nondisplaced fracture?

A displaced fracture involves a break where the bone fragments are misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the break.