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ICD-10 Guide
ICD-10 CodesS52.033

S52.033

Billable

Displaced fracture of olecranon process with intraarticular extension of unspecified ulna

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

Code Description

ICD-10 S52.033 is a billable code used to indicate a diagnosis of displaced fracture of olecranon process with intraarticular extension of unspecified ulna.

Key Diagnostic Point:

The displaced fracture of the olecranon process is a common injury that occurs at the elbow, typically resulting from a fall onto an outstretched hand or direct trauma to the elbow. This fracture involves the bony prominence of the ulna, which is crucial for elbow stability and function. The intraarticular extension indicates that the fracture line extends into the joint space, potentially compromising the integrity of the elbow joint and leading to complications such as joint stiffness, instability, or post-traumatic arthritis. Patients may present with significant pain, swelling, and limited range of motion in the elbow. Diagnosis is confirmed through imaging studies, including X-rays or CT scans, which help assess the fracture's displacement and any associated injuries. Treatment often involves orthopedic intervention, which may include closed reduction and immobilization or surgical fixation, depending on the fracture's severity and the patient's functional demands. Proper management is essential to restore elbow function and prevent long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Intraarticular involvement complicates the injury management.
  • Requires precise documentation of fracture displacement.
  • Potential for associated soft tissue injuries or complications.
  • Variability in treatment approaches based on fracture severity.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to note intraarticular extension in the medical record.
  • Misclassification of fracture severity or associated injuries.
  • Lack of imaging reports to support coding decisions.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and post-operative assessments are essential for accurate coding.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the fracture's displacement and any intraarticular involvement to justify the complexity of the procedure.

Emergency Medicine

Documentation Requirements

Thorough initial assessment notes, including mechanism of injury and physical examination findings.

Common Clinical Scenarios

Patients presenting with acute elbow pain and swelling after trauma.

Billing Considerations

Accurate documentation of the injury mechanism and initial treatment provided is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use S52.033 When
  • According to ICD
  • 10 guidelines, S52
  • 033 should be used when the fracture is confirmed as displaced with intraarticular extension
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S52.033 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of olecranon fracture

Clinical Scenario

Used when surgical intervention is required for displaced fractures.

Documentation Requirements

Operative notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 details about displacement and intraarticular involvement, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and intraarticular involvement, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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. It necessitates careful evaluation and often surgical intervention to restore joint integrity.