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ICD-10 Guide
ICD-10 CodesS52.102

S52.102

Billable

Unspecified fracture of upper end of left radius

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

Code Description

ICD-10 S52.102 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of left radius.

Key Diagnostic Point:

An unspecified fracture of the upper end of the left radius typically occurs due to trauma, such as a fall or direct impact. This injury can affect the elbow joint, leading to complications such as limited range of motion, pain, and swelling. The radius is one of the two long bones in the forearm, and its upper end articulates with the humerus at the elbow. Fractures in this area can be classified into various types, including non-displaced, displaced, and comminuted fractures. The clinical presentation may include tenderness, deformity, and inability to perform normal movements. Complications such as compartment syndrome may arise if swelling occurs within the muscle compartments of the forearm, necessitating urgent intervention. Treatment often involves orthopedic fixation procedures, which may include casting or surgical intervention with plates and screws, depending on the fracture's severity and displacement. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and presentations
  • Potential for complications such as compartment syndrome
  • Need for precise documentation of the injury mechanism
  • Differentiation from other upper extremity fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document treatment plans and outcomes
  • Misclassification of fracture type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Emergency Medicine

Documentation Requirements

Initial assessment findings, imaging results, and immediate treatment provided.

Common Clinical Scenarios

Patients presenting with acute pain and swelling after trauma.

Billing Considerations

Document mechanism of injury and any neurological or vascular assessments.

Coding Guidelines

Inclusion Criteria

Use S52.102 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used when the fracture type is unspecified
  • Document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S52.102 When
  • Exclude codes for specific fracture types if they are documented

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, radius

Clinical Scenario

Used when a closed reduction is performed for the fracture.

Documentation Requirements

Document the method of reduction and any immobilization techniques used.

Specialty Considerations

Orthopedic surgeons should ensure detailed operative notes are provided.

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 granularity of data collection and reimbursement processes. S52.102 provides a way to capture unspecified fractures, which can be useful in cases where detailed documentation is lacking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and reimbursement processes. S52.102 provides a way to capture unspecified fractures, which can be useful in cases where detailed documentation is lacking.

Reimbursement & Billing Impact

reimbursement processes. S52.102 provides a way to capture unspecified fractures, which can be useful in cases where detailed documentation is lacking.

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 should I document to support the use of S52.102?

Document the mechanism of injury, clinical findings, imaging results, and treatment plans. Ensure that any complications or follow-up care are also noted.