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ICD-10 Guide
ICD-10 CodesS52.03

S52.03

Billable

Fracture of olecranon process with intraarticular extension of ulna

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

Code Description

ICD-10 S52.03 is a billable code used to indicate a diagnosis of fracture of olecranon process with intraarticular extension of ulna.

Key Diagnostic Point:

The olecranon process is the bony prominence of the elbow, and fractures in this area can significantly impact elbow function. An olecranon fracture with intraarticular extension of the ulna indicates that the fracture line extends into the joint space, potentially leading to complications such as joint instability, post-traumatic arthritis, and impaired range of motion. These fractures are often the result of direct trauma, such as falls or sports injuries, and can occur in both adults and children. Diagnosis typically involves physical examination and imaging studies, including X-rays or CT scans, to assess the fracture's complexity and any associated injuries. Treatment may involve conservative management with immobilization or surgical intervention, particularly if the fracture is displaced or unstable. Surgical options may include open reduction and internal fixation (ORIF) to restore the anatomy and function of the elbow joint. Post-operative rehabilitation is crucial for restoring strength and mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Intraarticular involvement complicates the coding due to potential for additional procedures.
  • Requires precise documentation of fracture type and treatment approach.
  • Differentiation from other elbow fractures can be challenging.
  • Potential for associated injuries to the radius or other structures.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to note associated injuries or complications.
  • Incorrect coding of the treatment procedure.
  • Lack of clarity on the mechanism of injury.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or direct trauma.

Billing Considerations

Ensure accurate description of fracture type and treatment to avoid coding errors.

Physical Medicine and Rehabilitation

Documentation Requirements

Rehabilitation progress notes and functional assessments.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of olecranon fractures.

Billing Considerations

Document functional limitations and progress to support coding for therapy services.

Coding Guidelines

Inclusion Criteria

Use S52.03 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code reflects the specific nature of the fracture and any associated injuries
  • Include documentation of the mechanism of injury and treatment approach

Exclusion Criteria

Do NOT use S52.03 When
  • Exclude codes for fractures that do not involve the olecranon process or do not have intraarticular extension

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of olecranon fracture

Clinical Scenario

Used when surgical intervention is performed for an olecranon fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation method.

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 those with intraarticular involvement, which enhances the accuracy of patient records and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including those with intraarticular involvement, which enhances the accuracy of patient records and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including those with intraarticular involvement, which enhances the accuracy of patient records and 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 significance of intraarticular extension in olecranon fractures?

Intraarticular extension indicates that the fracture line extends into the elbow joint, which can lead to complications such as joint instability and post-traumatic arthritis. This necessitates careful management and documentation.