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ICD-10 Guide
ICD-10 CodesS52.23

S52.23

Billable

Oblique fracture of shaft of ulna

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

Code Description

ICD-10 S52.23 is a billable code used to indicate a diagnosis of oblique fracture of shaft of ulna.

Key Diagnostic Point:

An oblique fracture of the shaft of the ulna is characterized by a fracture line that runs diagonally across the bone, typically resulting from a direct blow or a fall onto an outstretched hand. This type of fracture can occur in conjunction with injuries to the radius, particularly in cases of forearm fractures. The ulna, being one of the two long bones in the forearm, plays a crucial role in wrist and elbow stability. Patients may present with pain, swelling, and limited range of motion in the elbow and wrist. Complications such as compartment syndrome can arise if there is significant swelling or bleeding within the forearm compartments, necessitating urgent intervention. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws, to ensure proper alignment and healing of the fracture. Rehabilitation is essential to restore function and strength to the affected limb. Accurate coding of this condition is vital for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture laterality
  • Lack of clarity in operative reports for fixation procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Documentation must clearly indicate the fracture type, treatment performed, and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be comprehensive.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm or wrist.

Billing Considerations

Timely documentation is critical to capture the urgency of the injury and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S52.23 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the fracture is coded based on the specific site and type
  • Include any associated conditions such as compartment syndrome when applicable

Exclusion Criteria

Do NOT use S52.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of ulnar shaft fracture

Clinical Scenario

Used when surgical fixation is performed for an oblique fracture of the ulna.

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 patient records and reimbursement processes. S52.23 provides detailed information about the fracture type, which is essential for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S52.23 provides detailed information about the fracture type, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.23 provides detailed information about the fracture type, which is essential for treatment planning.

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 an oblique fracture and a transverse fracture?

An oblique fracture has a diagonal fracture line, while a transverse fracture has a horizontal fracture line. The treatment and implications for healing may differ based on the fracture type.