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ICD-10 Guide
ICD-10 CodesS52.29

S52.29

Billable

Other fracture of shaft of ulna

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

Code Description

ICD-10 S52.29 is a billable code used to indicate a diagnosis of other fracture of shaft of ulna.

Key Diagnostic Point:

The S52.29 code refers to fractures of the shaft of the ulna that do not fall into more specific categories. These fractures can occur due to various mechanisms, including falls, direct blows, or sports injuries. The ulna, one of the two long bones in the forearm, plays a crucial role in wrist and elbow function. Fractures in this area can lead to complications such as malunion, nonunion, or compartment syndrome, particularly if there is associated swelling or bleeding. Compartment syndrome is a serious condition that can arise from increased pressure within the muscle compartments of the forearm, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture. Proper alignment and stabilization are essential for optimal recovery and function. In the context of elbow fractures, it is important to assess for any associated injuries to the radius or other structures, as these can complicate the healing process and impact the choice of surgical intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations within the ulna
  • Potential for associated injuries to the radius or elbow joint
  • Need for detailed documentation of the mechanism of injury
  • Variations in treatment approaches and fixation methods

Audit Risk Factors

  • Inadequate documentation of the fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of the fracture when more specific codes are available
  • Lack of clarity regarding the treatment plan and procedures performed

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 falls, sports injuries, or motor vehicle accidents.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute forearm pain and swelling after trauma.

Billing Considerations

Accurate documentation of the mechanism of injury and initial management is critical.

Coding Guidelines

Inclusion Criteria

Use S52.29 When
  • According to ICD
  • 10 guidelines, S52
  • 29 should be used when a fracture of the shaft of the ulna is documented without further specification
  • Coders must ensure that the documentation supports the use of this code and that no more specific codes apply

Exclusion Criteria

Do NOT use S52.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of fracture of ulna

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons must provide comprehensive documentation to support the procedure.

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. S52.29 provides a broader category for ulna shaft fractures, which can help capture cases that may not fit into more specific codes.

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. S52.29 provides a broader category for ulna shaft fractures, which can help capture cases that may not fit into more specific codes.

Reimbursement & Billing Impact

reimbursement. S52.29 provides a broader category for ulna shaft fractures, which can help capture cases that may not fit into more specific codes.

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 are the common causes of an ulna shaft fracture?

Common causes include falls, direct trauma, and sports injuries. High-energy impacts can lead to more complex fractures.

How can I differentiate between an ulna shaft fracture and a distal ulna fracture?

Ulna shaft fractures occur along the length of the bone, while distal ulna fractures are located near the wrist. Imaging studies are essential for accurate diagnosis.