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ICD-10 Guide
ICD-10 CodesS52.252

S52.252

Billable

Displaced comminuted fracture of shaft of ulna, left arm

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

Code Description

ICD-10 S52.252 is a billable code used to indicate a diagnosis of displaced comminuted fracture of shaft of ulna, left arm.

Key Diagnostic Point:

A displaced comminuted fracture of the shaft of the ulna in the left arm is characterized by the breaking of the ulna bone into multiple fragments, with the fragments being misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls or accidents, and can significantly impact the function of the arm, particularly the wrist and elbow. The ulna is one of the two long bones in the forearm, and its fracture can lead to complications such as compartment syndrome, where swelling increases pressure within the muscle compartments, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws, to stabilize the fracture and promote healing. Proper alignment and stabilization are crucial to restore function and prevent long-term complications. Rehabilitation may be necessary to regain strength and range of motion following the injury and surgical intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types (displaced, comminuted)
  • Need for accurate documentation of the fracture's location and severity
  • Potential for associated complications (e.g., compartment syndrome)
  • Variability in treatment approaches (surgical vs. conservative management)

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 with surgical procedure codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical procedures performed.

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 arm, requiring immediate evaluation and possible referral to orthopedics.

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment is critical for coding.

Coding Guidelines

Inclusion Criteria

Use S52.252 When
  • According to ICD
  • 10 coding guidelines, S52
  • 252 should be used when the fracture is confirmed through imaging and documented as displaced and comminuted
  • It is important to ensure that the documentation supports the diagnosis and includes details about the fracture's location and treatment

Exclusion Criteria

Do NOT use S52.252 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of distal ulnar fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the fixation method used.

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 billing. S52.252 provides detailed information about the type and location of the fracture, which is essential for treatment planning and reimbursement.

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 billing. S52.252 provides detailed information about the type and location of the fracture, which is essential for treatment planning and reimbursement.

Reimbursement & Billing Impact

billing. S52.252 provides detailed information about the type and location of the fracture, which is essential for treatment planning and reimbursement.

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 comminuted fracture and a simple fracture?

A comminuted fracture involves the bone being broken into multiple pieces, while a simple fracture is a clean break with two fragments. Comminuted fractures are generally more complex and may require more extensive treatment.