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ICD-10 Guide
ICD-10 CodesS52.261

S52.261

Billable

Displaced segmental fracture of shaft of ulna, right arm

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

Code Description

ICD-10 S52.261 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of ulna, right arm.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the ulna in the right arm is characterized by a break in the bone that results in two or more segments of the ulna being separated and misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls or accidents, and can be associated with injuries to surrounding soft tissues, including muscles, tendons, and nerves. 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 of the fracture can lead to complications such as malunion or nonunion, necessitating surgical intervention. In cases where the fracture is segmental, there may be multiple fracture lines, which complicates the healing process and may require orthopedic fixation procedures such as plates, screws, or intramedullary nails to stabilize the bone. Additionally, the risk of compartment syndrome should be monitored, as swelling and increased pressure within the forearm compartments can lead to serious complications if not addressed promptly.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Presence of multiple fracture segments
  • Potential for associated soft tissue injuries
  • Need for surgical intervention and fixation
  • Risk of complications such as compartment syndrome

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to note associated injuries
  • Improper coding of surgical procedures
  • Lack of follow-up documentation for complications

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of fracture type, location, and any surgical procedures performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of any fixation devices used and monitor for complications.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm.

Billing Considerations

Document any immediate interventions and referrals to orthopedic specialists.

Coding Guidelines

Inclusion Criteria

Use S52.261 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated conditions
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S52.261 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 a displaced segmental fracture.

Documentation Requirements

Document the surgical approach, fixation method, and any complications.

Specialty Considerations

Orthopedic surgeons should ensure detailed operative notes are available.

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. S52.261 provides detailed information about the fracture type and location, which is crucial for 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 data collection and reimbursement processes. S52.261 provides detailed information about the fracture type and location, which is crucial for treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S52.261 provides detailed information about the fracture type and location, which is crucial for 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 displaced and non-displaced fracture?

A displaced fracture involves a break in the bone where the ends are not aligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.