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ICD-10 Guide
ICD-10 CodesS52.246

S52.246

Billable

Nondisplaced spiral fracture of shaft of ulna, unspecified arm

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

Code Description

ICD-10 S52.246 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of ulna, unspecified arm.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the ulna is characterized by a helical fracture line that does not result in the bone fragments being misaligned. This type of fracture typically occurs due to a twisting force applied to the arm, often seen in sports injuries or falls. The ulna is one of the two long bones in the forearm, and its shaft is the central part of the bone. While the fracture is nondisplaced, it can still cause significant pain, swelling, and limited range of motion in the affected arm. Diagnosis is usually confirmed through radiographic imaging, which reveals the fracture pattern. Treatment often involves conservative management, including immobilization with a splint or cast, and in some cases, physical therapy may be necessary to restore function. Complications such as compartment syndrome, though rare, can occur if swelling is not managed properly, leading to increased pressure within the muscle compartments of the forearm. Orthopedic fixation procedures may be considered if the fracture were displaced or if there are associated injuries to the radius or elbow joint.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the specific location of the fracture (shaft of ulna)
  • Identifying associated injuries (e.g., radius fractures)
  • Recognizing potential complications like compartment syndrome

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to specify the arm involved
  • Misclassification of fracture displacement
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Emergency Medicine

Documentation Requirements

Immediate assessment findings, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute forearm pain after trauma.

Billing Considerations

Documenting the need for imaging and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.246 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as nondisplaced and specifying the location as the shaft of the ulna
  • Include any relevant details about the mechanism of injury and associated conditions

Exclusion Criteria

Do NOT use S52.246 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, ulna, with manipulation

Clinical Scenario

Used when a nondisplaced fracture requires manipulation for alignment.

Documentation Requirements

Document the need for manipulation and the technique used.

Specialty Considerations

Orthopedic specialists should ensure detailed operative notes are 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. S52.246 provides a clear distinction between nondisplaced and displaced fractures, which is crucial 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 data collection and reimbursement processes. S52.246 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.246 provides a clear distinction between nondisplaced and displaced fractures, which is crucial 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 a nondisplaced and displaced fracture?

A nondisplaced fracture means that the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.