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v1.0.0
ICD-10 Guide
ICD-10 CodesS52.034

S52.034

Billable

Nondisplaced fracture of olecranon process with intraarticular extension of right ulna

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

Code Description

ICD-10 S52.034 is a billable code used to indicate a diagnosis of nondisplaced fracture of olecranon process with intraarticular extension of right ulna.

Key Diagnostic Point:

A nondisplaced fracture of the olecranon process of the ulna is characterized by a break in the bone that does not result in the bone fragments being misaligned. This specific fracture occurs at the bony prominence of the elbow, which is crucial for the extension of the forearm. The intraarticular extension indicates that the fracture line extends into the elbow joint, potentially affecting joint stability and function. Patients typically present with pain, swelling, and limited range of motion in the elbow. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture and its relationship to the joint. Treatment often involves conservative management, including immobilization and physical therapy, but surgical intervention may be necessary if there is significant joint involvement or instability. Proper coding is essential for accurate billing and treatment tracking, especially in cases where surgical fixation may be required.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Intraarticular involvement complicates the coding process.
  • Differentiating between displaced and nondisplaced fractures requires careful review of imaging.
  • Potential for associated soft tissue injuries increases coding complexity.
  • Documentation must clearly specify the location and nature of the fracture.

Audit Risk Factors

  • Inadequate documentation of fracture type and location.
  • Failure to specify intraarticular involvement.
  • Misclassification of fracture displacement.
  • Lack of imaging reports to support coding.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports and imaging studies must be included to support the diagnosis and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation specifies the type of fracture and any associated procedures performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation plans.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for range of motion and strength.

Billing Considerations

Document progress notes that reflect the patient's recovery and any complications.

Coding Guidelines

Inclusion Criteria

Use S52.034 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S52.034 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 a nondisplaced fracture with intraarticular extension.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of billing and treatment tracking. S52.034 provides detailed information about the fracture type and its implications for treatment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of billing and treatment tracking. S52.034 provides detailed information about the fracture type and its implications for treatment.

Reimbursement & Billing Impact

billing and treatment tracking. S52.034 provides detailed information about the fracture type and its implications for treatment.

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 this fracture?

Intraarticular extension indicates that the fracture line extends into the elbow joint, which can affect joint stability and may require more careful management to prevent complications such as arthritis.