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ICD-10 Guide
ICD-10 CodesS52.019

S52.019

Billable

Torus fracture of upper end of unspecified ulna

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

Code Description

ICD-10 S52.019 is a billable code used to indicate a diagnosis of torus fracture of upper end of unspecified ulna.

Key Diagnostic Point:

A torus fracture, also known as a buckle fracture, is a common type of injury in children, characterized by a compression of the bone that results in a bulging or buckling of the cortex without a complete fracture. In the case of the upper end of the ulna, this injury typically occurs due to a fall onto an outstretched hand or direct trauma to the elbow region. The upper end of the ulna is critical for elbow stability and function, and while torus fractures are generally stable and do not require surgical intervention, they necessitate careful monitoring to prevent complications. The diagnosis is often confirmed through X-ray imaging, which reveals the characteristic deformity. Treatment usually involves immobilization with a splint or cast, and follow-up care is essential to ensure proper healing. Complications such as compartment syndrome, although rare, can occur if swelling is not managed appropriately, leading to increased pressure within the muscle compartments of the forearm. Understanding the nuances of this fracture type is crucial for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered in pediatric populations
  • Typically requires straightforward imaging for diagnosis
  • Standard treatment protocols are well established
  • Low likelihood of surgical intervention

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the location of the fracture
  • Misclassification of fracture type (torus vs. complete)
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of injury, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Children presenting with arm pain after a fall, often with swelling and tenderness around the elbow.

Billing Considerations

Ensure accurate age documentation, as torus fractures are more common in younger patients.

Orthopedics

Documentation Requirements

Comprehensive assessment of fracture stability, treatment options discussed, and follow-up care plans.

Common Clinical Scenarios

Patients with elbow pain and limited range of motion following trauma.

Billing Considerations

Document any potential complications, such as compartment syndrome, especially in cases of significant swelling.

Coding Guidelines

Inclusion Criteria

Use S52.019 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to document the specific site of the fracture and the type of fracture

Exclusion Criteria

Do NOT use S52.019 When
  • Exclude codes for complete fractures or other types of injuries that may present similarly

Related ICD-10 Codes

Related CPT Codes

29075CPT Code

Application of a splint

Clinical Scenario

Used when a torus fracture is diagnosed and requires immobilization.

Documentation Requirements

Document the type of splint applied and the reason for immobilization.

Specialty Considerations

Orthopedic specialists may have specific protocols for splinting.

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 torus 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 torus fractures, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

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

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 a torus fracture?

A torus fracture is a type of bone fracture that occurs when one side of the bone buckles without breaking all the way through, commonly seen in children.