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ICD-10 Guide
ICD-10 CodesS52.2

S52.2

Billable

Fracture of shaft of ulna

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

Code Description

ICD-10 S52.2 is a billable code used to indicate a diagnosis of fracture of shaft of ulna.

Key Diagnostic Point:

A fracture of the shaft of the ulna typically occurs due to direct trauma or a fall onto an outstretched hand, often in conjunction with a fracture of the radius. This injury can lead to significant functional impairment, particularly in the forearm and wrist, affecting the patient's ability to perform daily activities. The ulna, being one of the two long bones in the forearm, plays a crucial role in wrist stability and forearm rotation. Fractures in this area can be classified as either closed or open, depending on whether the skin is intact. Complications such as compartment syndrome may arise, particularly if there is significant swelling or bleeding within the forearm compartments. This condition requires immediate surgical intervention to relieve pressure and prevent permanent damage. Orthopedic fixation procedures, such as intramedullary nailing or plate fixation, are often employed to stabilize the fracture and promote healing. Proper alignment and stabilization are critical to restore function and prevent long-term complications such as malunion or nonunion.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between closed and open fractures
  • Identifying associated injuries (e.g., radius fractures)
  • Understanding the implications of compartment syndrome
  • Documenting the type of fixation procedure used

Audit Risk Factors

  • Inadequate documentation of fracture type (open vs. closed)
  • Failure to document associated injuries
  • Lack of clarity on the fixation method used
  • Insufficient follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Ensure accurate documentation of the fracture type and any associated injuries.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans must be comprehensive.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the treatment provided and any complications

Exclusion Criteria

Do NOT use S52.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of fracture of ulna

Clinical Scenario

Used when surgical intervention is required for stabilization.

Documentation Requirements

Operative report detailing the procedure performed.

Specialty Considerations

Orthopedic surgeons must document the fixation method 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.

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.

Reimbursement & Billing Impact

reimbursement processes.

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 an open and closed fracture?

An open fracture involves a break in the skin, exposing the bone, while a closed fracture does not break the skin.