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ICD-10 Guide
ICD-10 CodesS52.345

S52.345

Billable

Nondisplaced spiral fracture of shaft of radius, left arm

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

Code Description

ICD-10 S52.345 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of radius, left arm.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the radius in the left arm typically occurs due to a twisting injury or fall. This type of fracture is characterized by a helical fracture line that does not result in the bone fragments being displaced from their normal anatomical position. Patients may present with pain, swelling, and limited range of motion in the affected arm. Diagnosis is confirmed through imaging studies, such as X-rays, which reveal the fracture pattern. Treatment often involves conservative management, including immobilization with a splint or cast, and in some cases, physical therapy to restore function. Complications can include compartment syndrome, which is a serious condition that arises from increased pressure within a muscle compartment, potentially leading to muscle and nerve damage. Orthopedic fixation procedures may be necessary if the fracture is unstable or if there are associated injuries to the elbow or ulna. Proper follow-up is essential to monitor healing and functional recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the implications of spiral fracture patterns
  • Identifying associated injuries to the elbow or ulna
  • Recognizing potential complications such as compartment syndrome

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to note associated injuries or complications
  • Misclassification of fracture displacement
  • Lack of follow-up documentation on healing progress

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Fractures due to falls, sports injuries, or accidents are frequently encountered.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with acute pain and swelling after trauma.

Billing Considerations

Timely documentation is crucial for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S52.345 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment and follow
  • up care

Exclusion Criteria

Do NOT use S52.345 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radius fracture, with or without manipulation

Clinical Scenario

Used when a nondisplaced fracture is treated conservatively.

Documentation Requirements

Document the type of fracture, treatment provided, and follow-up care.

Specialty Considerations

Orthopedic specialists should ensure detailed notes on the treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

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 nondisplaced fracture?

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