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ICD-10 Guide
ICD-10 CodesS52.122

S52.122

Billable

Displaced fracture of head of left radius

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

Code Description

ICD-10 S52.122 is a billable code used to indicate a diagnosis of displaced fracture of head of left radius.

Key Diagnostic Point:

A displaced fracture of the head of the left radius typically occurs due to trauma, such as a fall onto an outstretched hand or direct impact to the elbow. This type of fracture is characterized by the misalignment of the bone fragments, which can lead to complications such as limited range of motion, pain, and potential damage to surrounding structures, including ligaments and nerves. The head of the radius is crucial for the stability and function of the elbow joint, and displacement can significantly affect the patient's ability to perform daily activities. Diagnosis is usually confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture's location and displacement. Treatment often involves orthopedic intervention, which may include closed reduction and immobilization or surgical fixation, depending on the severity of the displacement and the patient's overall health. Complications such as compartment syndrome, which can arise from swelling and increased pressure within the forearm compartments, must be monitored closely. Proper rehabilitation is essential for restoring function and preventing long-term disability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and non-displaced fractures
  • Potential for associated injuries to the elbow or forearm
  • Variability in treatment approaches (surgical vs. non-surgical)

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to document associated injuries or complications
  • Incorrect coding of the side (left vs. right)
  • Lack of clarity on treatment provided (surgical vs. conservative)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment performed, and any complications encountered.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress are necessary.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture fixation to regain strength and mobility.

Billing Considerations

Focus on documenting the patient's functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S52.122 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's specifics, including laterality and displacement
  • displaced fractures or those not involving the head of the radius

Exclusion Criteria

Do NOT use S52.122 When
  • Exclude codes for non

Related ICD-10 Codes

Related CPT Codes

24500CPT Code

Open treatment of radial head fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any complications.

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 data collection and reimbursement processes. S52.122 provides detailed information about the fracture's nature and location, which is crucial for treatment planning and outcomes assessment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S52.122 provides detailed information about the fracture's nature and location, which is crucial for treatment planning and outcomes assessment.

Reimbursement & Billing Impact

reimbursement processes. S52.122 provides detailed information about the fracture's nature and location, which is crucial for treatment planning and outcomes assessment.

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 difference between a displaced and non-displaced fracture?

A displaced fracture involves a misalignment of the bone fragments, while a non-displaced fracture means the bone remains in its normal position despite the fracture.