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ICD-10 Guide
ICD-10 CodesS52.245

S52.245

Billable

Nondisplaced spiral fracture of shaft of ulna, left arm

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

Code Description

ICD-10 S52.245 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of ulna, left arm.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the ulna occurs when the bone is fractured in a spiral pattern but remains in its anatomical position without displacement. This type of fracture is often the result of a twisting injury or fall, particularly in sports 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, it is essential to monitor for potential complications such as compartment syndrome, which can occur if swelling leads to increased pressure within the muscle compartments of the forearm. Treatment typically involves immobilization with a splint or cast, and rehabilitation may be necessary to restore full function. Accurate coding is vital for proper reimbursement and to ensure that the patient's medical record reflects the nature of the injury and the treatment provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation from other types of ulna fractures
  • Potential for associated injuries to the radius or elbow
  • Monitoring for complications such as compartment syndrome

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to note associated injuries
  • Lack of follow-up documentation
  • Misclassification of fracture displacement

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes if applicable, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture characteristics and any surgical procedures performed.

Physical Therapy

Documentation Requirements

Initial evaluation notes, progress reports, and discharge summaries.

Common Clinical Scenarios

Rehabilitation following fracture immobilization, focusing on restoring range of motion and strength.

Billing Considerations

Document functional limitations and progress towards rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S52.245 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S52.245 When
  • Exclude codes for displaced fractures unless specifically documented

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 method of treatment and any 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 medical records and reimbursement processes. S52.245 provides a clear distinction for nondisplaced spiral fractures, which aids in treatment planning and outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of medical records and reimbursement processes. S52.245 provides a clear distinction for nondisplaced spiral fractures, which aids in treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S52.245 provides a clear distinction for nondisplaced spiral fractures, which aids in treatment planning and outcome 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 the bone breaking and moving out of alignment.