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ICD-10 Guide
ICD-10 CodesS52.201

S52.201

Billable

Unspecified fracture of shaft of right ulna

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

Code Description

ICD-10 S52.201 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of right ulna.

Key Diagnostic Point:

An unspecified fracture of the shaft of the right ulna refers to a break in the long bone located in the forearm, which runs parallel to the radius. This type of fracture can occur due to various mechanisms, including falls, direct blows, or twisting injuries. The ulna is crucial for forearm stability and function, particularly in activities involving the elbow and wrist. Symptoms typically include pain, swelling, and limited range of motion in the elbow and wrist. Diagnosis is often confirmed through imaging studies such as X-rays, which can reveal the fracture's location and severity. Treatment may vary based on the fracture's characteristics but often involves immobilization with a cast or splint. In some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture using orthopedic fixation techniques such as plates, screws, or intramedullary nails. Complications can include compartment syndrome, which is a serious condition that arises from increased pressure within a muscle compartment, potentially leading to muscle and nerve damage if not addressed promptly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of fracture characteristics
  • Potential for associated injuries (e.g., radius fractures)
  • Differentiation from other upper extremity fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated injuries
  • Lack of clarity on treatment provided
  • Misclassification of fracture type

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the fracture type, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm, often requiring immediate imaging and stabilization.

Billing Considerations

Accurate documentation of mechanism of injury and initial management is critical for coding.

Coding Guidelines

Inclusion Criteria

Use S52.201 When
  • According to ICD
  • 10 guidelines, this code should be used when the fracture is not specified further
  • Coders must ensure that the documentation supports the use of this unspecified code and that no more specific fracture codes are applicable

Exclusion Criteria

Do NOT use S52.201 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, ulna

Clinical Scenario

Used when a closed fracture of the ulna is treated without surgical intervention.

Documentation Requirements

Documentation must include details of the fracture and treatment provided.

Specialty Considerations

Orthopedic documentation should specify the fracture type and treatment plan.

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 data accuracy and patient care tracking. However, the use of unspecified codes like S52.201 may lead to challenges in understanding the full clinical picture.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving data accuracy and patient care tracking. However, the use of unspecified codes like S52.201 may lead to challenges in understanding the full clinical picture.

Reimbursement & Billing Impact

reimbursement and compliance.

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 using an unspecified fracture code?

Using an unspecified fracture code like S52.201 may simplify coding but can lead to challenges in understanding the patient's condition and treatment needs. It is essential to document as much detail as possible to support the code's use.