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ICD-10 Guide
ICD-10 CodesS52.292

S52.292

Billable

Other fracture of shaft of left ulna

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

Code Description

ICD-10 S52.292 is a billable code used to indicate a diagnosis of other fracture of shaft of left ulna.

Key Diagnostic Point:

The S52.292 code refers to a fracture of the shaft of the left ulna that does not fall into the more specific categories of fractures. This type of fracture can occur due to various mechanisms, including falls, direct blows, or sports injuries. The ulna is one of the two long bones in the forearm, and fractures in this area can significantly impact the function of the arm, particularly in relation to the elbow joint. Fractures of the ulna can lead to complications such as malunion or nonunion, which may require surgical intervention. In some cases, associated injuries to the radius may also occur, necessitating a comprehensive evaluation of both bones. Compartment syndrome is a potential complication that can arise from fractures in this region, particularly if there is significant swelling or bleeding. Treatment often involves orthopedic fixation procedures, such as the use of plates, screws, or intramedullary nails, to stabilize the fracture and promote healing. Proper documentation of the mechanism of injury, associated symptoms, and treatment plan is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Potential for associated injuries to the radius
  • Risk of complications such as compartment syndrome
  • Need for detailed documentation of treatment procedures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Lack of clarity in treatment procedures performed
  • Inconsistent coding of fracture types

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly outline the fracture type, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Accurate initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm, requiring stabilization and referral.

Billing Considerations

Timely documentation is critical for coding and billing, especially in acute care settings.

Coding Guidelines

Inclusion Criteria

Use S52.292 When
  • According to ICD
  • 10 coding guidelines, S52
  • 292 should be used when the fracture is confirmed through imaging and is not classified under more specific fracture codes
  • Coders must ensure that the documentation supports the diagnosis and treatment provided

Exclusion Criteria

Do NOT use S52.292 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 fixation is performed for the fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of 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 data collection and reimbursement processes. S52.292 provides a clear classification for fractures that do not fit into more defined categories, allowing for better tracking of treatment outcomes.

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. S52.292 provides a clear classification for fractures that do not fit into more defined categories, allowing for better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. S52.292 provides a clear classification for fractures that do not fit into more defined categories, allowing for better tracking of treatment outcomes.

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 significance of the 'other fracture' classification?

The 'other fracture' classification allows coders to capture fractures that do not fit into more specific categories, ensuring that all types of fractures are accounted for in clinical data.