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ICD-10 Guide
ICD-10 CodesS52.036

S52.036

Billable

Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna

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

Code Description

ICD-10 S52.036 is a billable code used to indicate a diagnosis of nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna.

Key Diagnostic Point:

The S52.036 code refers to a nondisplaced fracture of the olecranon process of the ulna, which is the bony prominence of the elbow. This type of fracture occurs when there is a break in the bone that does not result in the bone fragments being displaced from their normal position. The fracture is characterized by intraarticular extension, meaning that the fracture line extends into the joint space of the elbow, which can lead to complications such as joint instability or post-traumatic arthritis. The olecranon process serves as an important lever for the triceps muscle, and injuries to this area can significantly affect elbow function. Treatment typically involves conservative management, such as immobilization, or surgical intervention if there is concern for joint instability or if the fracture is associated with other injuries. Proper diagnosis and management are crucial to ensure optimal recovery and restore full range of motion in the elbow joint.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Intraarticular involvement complicates treatment and coding.
  • Differentiating between displaced and nondisplaced fractures requires careful assessment.
  • Potential for associated injuries to the joint or surrounding structures.
  • Variability in treatment approaches based on fracture stability.

Audit Risk Factors

  • Inadequate documentation of fracture type and location.
  • Failure to note intraarticular extension.
  • Misclassification of fracture displacement.
  • Lack of clarity on associated injuries or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant imaging findings are documented to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments and rehabilitation plans post-fracture.

Common Clinical Scenarios

Patients requiring rehabilitation after surgical fixation of olecranon fractures.

Billing Considerations

Document the impact of the fracture on functional abilities and recovery progress.

Coding Guidelines

Inclusion Criteria

Use S52.036 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the fracture is confirmed as nondisplaced with intraarticular extension

Exclusion Criteria

Do NOT use S52.036 When
  • Exclude codes for displaced fractures or fractures without intraarticular involvement

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

Surgical notes 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, including details about displacement and intraarticular involvement, 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 details about displacement and intraarticular involvement, 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 details about displacement and intraarticular involvement, 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 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 increased risk of post-traumatic arthritis. It necessitates careful evaluation and may require surgical intervention.