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ICD-10 Guide
ICD-10 CodesS52.264

S52.264

Billable

Nondisplaced segmental fracture of shaft of ulna, right arm

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

Code Description

ICD-10 S52.264 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of ulna, right arm.

Key Diagnostic Point:

A nondisplaced segmental fracture of the shaft of the ulna occurs when there are two or more fracture lines in the ulna, but the bone fragments remain in their anatomical position. This type of fracture is often the result of high-energy trauma, such as falls or sports injuries. The ulna is one of the two long bones in the forearm, and its shaft is critical for the stability and function of the wrist and elbow. Patients may present with pain, swelling, and limited range of motion in the affected arm. Diagnosis is typically confirmed through radiographic imaging, which reveals the fracture pattern. Treatment may involve conservative management with immobilization or surgical intervention, depending on the severity and associated injuries. Complications can include compartment syndrome, which is a serious condition that occurs when pressure builds up within the muscles, leading to decreased blood flow and potential muscle and nerve damage. Proper orthopedic fixation procedures may be necessary to ensure proper healing and restore function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying segmental fractures versus simple fractures
  • Understanding associated injuries to the radius or elbow
  • Recognizing potential complications like compartment syndrome

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to document associated injuries
  • Misclassification of fracture displacement
  • Lack of clarity in treatment plan documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be documented thoroughly.

Common Clinical Scenarios

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

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S52.264 When
  • According to ICD
  • 10 coding guidelines, S52
  • 264 should be used when the fracture is confirmed as nondisplaced and segmental
  • Coders must ensure that the documentation supports the diagnosis and treatment plan, including any associated injuries

Exclusion Criteria

Do NOT use S52.264 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 is treated without surgical intervention.

Documentation Requirements

Document the manipulation technique and follow-up care.

Specialty Considerations

Orthopedic surgeons must provide detailed operative notes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced segmental fractures, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced segmental fractures, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.