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ICD-10 Guide
ICD-10 CodesS52.262

S52.262

Billable

Displaced segmental fracture of shaft of ulna, left arm

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

Code Description

ICD-10 S52.262 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of ulna, left arm.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the ulna in the left arm is characterized by a break in the bone that results in the bone being separated into two or more segments, with the fragments being misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls or sports injuries. 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. Such fractures can lead to complications, including compartment syndrome, which is a serious condition that occurs when pressure within the muscles builds to dangerous levels, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws, to realign the bone fragments and stabilize the fracture. Proper management is essential to restore function and prevent long-term complications, including chronic pain and impaired mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and classifications.
  • Involves knowledge of specific anatomical locations.
  • Potential for associated injuries to the radius or elbow.
  • Need to differentiate between displaced and non-displaced fractures.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated injuries or complications.
  • Incorrect coding of laterality (left vs. right).
  • Misinterpretation of imaging results.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment provided, and any complications.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma to the arm, requiring immediate evaluation and stabilization.

Billing Considerations

Accurate coding requires clear documentation of the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.262 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated conditions
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S52.262 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 ulna fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation technique.

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. S52.262 provides detailed information about the fracture type and location, which is crucial for treatment planning and outcomes assessment.

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. S52.262 provides detailed information about the fracture type and location, which is crucial for treatment planning and outcomes assessment.

Reimbursement & Billing Impact

reimbursement processes. S52.262 provides detailed information about the fracture type and location, which is crucial for treatment planning and outcomes assessment.

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 means the bone remains in its normal position despite the fracture.