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ICD-10 Guide
ICD-10 CodesS52.135

S52.135

Billable

Nondisplaced fracture of neck of left radius

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

Code Description

ICD-10 S52.135 is a billable code used to indicate a diagnosis of nondisplaced fracture of neck of left radius.

Key Diagnostic Point:

A nondisplaced fracture of the neck of the left radius is characterized by a break in the bone that does not result in the bone fragments being misaligned. This type of fracture typically occurs due to a fall onto an outstretched hand or direct trauma to the forearm. Clinically, patients may present with localized pain, swelling, and limited range of motion in the elbow and wrist. The neck of the radius is a critical area as it plays a significant role in forearm rotation and stability. Diagnosis is usually confirmed through X-ray imaging, which reveals the fracture without displacement. Treatment often involves immobilization with a splint or cast, and in some cases, physical therapy may be required to restore function. Complications can include stiffness, pain, and in rare cases, compartment syndrome, which is a serious condition that occurs when pressure within the muscles builds to dangerous levels, potentially leading to muscle and nerve damage. Proper management and follow-up are essential to ensure optimal recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of the fracture
  • Potential for associated injuries in the elbow region
  • Variability in treatment approaches and documentation requirements

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to document associated injuries
  • Incorrect coding of the laterality (left vs. right)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures due to falls, sports injuries, or accidents.

Billing Considerations

Ensure that all imaging studies are documented and correlate with the diagnosis.

Physical Therapy

Documentation Requirements

Progress notes detailing range of motion, strength assessments, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following fracture immobilization.

Billing Considerations

Document the patient's response to therapy and any modifications to the treatment plan.

Coding Guidelines

Inclusion Criteria

Use S52.135 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated conditions
  • Include details on the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S52.135 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radius fracture

Clinical Scenario

Used when a nondisplaced fracture is treated without surgery.

Documentation Requirements

Document the method of treatment and any follow-up care.

Specialty Considerations

Orthopedic specialists should ensure that all treatment details are captured.

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. S52.135 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

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. S52.135 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.135 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.