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v1.0.0
ICD-10 Guide
ICD-10 CodesS52.032

S52.032

Billable

Displaced fracture of olecranon process with intraarticular extension of left ulna

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

Code Description

ICD-10 S52.032 is a billable code used to indicate a diagnosis of displaced fracture of olecranon process with intraarticular extension of left ulna.

Key Diagnostic Point:

A displaced fracture of the olecranon process of the ulna is a common injury, particularly in adults, often resulting from falls or direct trauma to the elbow. The olecranon is the bony prominence of the ulna that forms the elbow joint, and fractures in this area can significantly impact joint function. When the fracture is displaced, the fragments are not aligned, which can lead to complications such as instability of the elbow joint and potential intraarticular extension, where the fracture line extends into the joint space. This can result in joint effusion, pain, and limited range of motion. Treatment typically involves orthopedic intervention, which may include surgical fixation to realign the bone fragments and stabilize the joint. Complications such as compartment syndrome, which can occur due to swelling and increased pressure within the muscle compartments of the forearm, must also be monitored. Proper diagnosis and management are crucial to prevent long-term disability and ensure optimal recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Intraarticular extension complicates the fracture management.
  • Requires detailed imaging studies for accurate assessment.
  • Potential for associated soft tissue injuries.
  • Need for surgical intervention increases coding complexity.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document intraarticular involvement.
  • Lack of imaging reports to support the diagnosis.
  • Improper coding of associated procedures or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of fracture characteristics and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute elbow pain and swelling after trauma.

Billing Considerations

Document mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.032 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity in describing the fracture type, location, and any associated complications
  • Ensure compliance with guidelines for coding surgical procedures if applicable

Exclusion Criteria

Do NOT use S52.032 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24301CPT Code

Open treatment of olecranon fracture

Clinical Scenario

Used when surgical fixation is performed for a displaced olecranon fracture.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons should ensure that the operative report aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote displacement and intraarticular involvement, which is critical for appropriate treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote displacement and intraarticular involvement, which is critical for appropriate treatment and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 joint space, which can lead to complications such as joint instability and increased risk of post-traumatic arthritis. It necessitates careful surgical management to restore joint function.