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ICD-10 Guide
ICD-10 CodesS52.242

S52.242

Billable

Displaced spiral fracture of shaft of ulna, left arm

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

Code Description

ICD-10 S52.242 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of ulna, left arm.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the ulna is characterized by a helical break in the bone that results in misalignment. This type of fracture typically occurs due to a twisting force applied to the arm, often seen in sports injuries or falls. 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. Displacement indicates that the fracture fragments are not aligned, which can lead to complications such as impaired function, chronic pain, or malunion if not properly treated. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws or external fixation, to restore proper alignment and stability. Compartment syndrome is a potential complication that can arise from swelling or bleeding within the muscle compartments of the forearm, necessitating prompt recognition and intervention. Accurate coding requires thorough documentation of the fracture type, location, and any associated injuries to ensure appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and displacement
  • Differentiation from similar fracture codes
  • Potential for associated complications like compartment syndrome
  • Variability in treatment approaches and fixation methods

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of laterality (left vs. right)
  • Misalignment between diagnosis and treatment codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports including fracture type, fixation method, and post-operative care.

Common Clinical Scenarios

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

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any complications such as compartment syndrome.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute forearm pain and swelling after trauma.

Billing Considerations

Documenting the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.242 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the need for specificity in fracture type and laterality
  • Ensure compliance with guidelines regarding the documentation of complications and treatment

Exclusion Criteria

Do NOT use S52.242 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of distal ulna fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the complexity of the fracture and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and the type of fracture. This has improved the accuracy of coding and billing for orthopedic procedures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and the type of fracture. This has improved the accuracy of coding and billing for orthopedic procedures.

Reimbursement & Billing Impact

billing for orthopedic procedures.

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 non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned, while a non-displaced fracture indicates that the bone remains in its normal position despite the fracture.