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ICD-10 Guide
ICD-10 CodesS52.21

S52.21

Billable

Greenstick fracture of shaft of ulna

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

Code Description

ICD-10 S52.21 is a billable code used to indicate a diagnosis of greenstick fracture of shaft of ulna.

Key Diagnostic Point:

A greenstick fracture of the shaft of the ulna is a type of incomplete fracture commonly seen in pediatric patients, characterized by a bending of the bone without complete disruption. This fracture occurs when the bone bends and cracks on one side while remaining intact on the other, resembling the way a green twig breaks. The ulna, one of the two long bones in the forearm, can sustain this type of fracture due to trauma, falls, or direct impact. Clinically, patients may present with localized pain, swelling, and limited range of motion in the affected arm. Diagnosis is typically confirmed through radiographic imaging, which reveals the characteristic incomplete fracture pattern. Treatment often involves immobilization with a cast or splint, and in some cases, orthopedic intervention may be necessary to ensure proper alignment and healing. Complications can include malunion or nonunion, particularly if the fracture is not adequately stabilized. Understanding the nuances of this fracture type is crucial for accurate coding and management, especially in pediatric populations where growth plate involvement may also be a concern.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete fractures
  • Identifying the specific location of the fracture
  • Understanding pediatric versus adult fracture patterns
  • Potential for associated injuries in the forearm

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality (left or right)
  • Lack of follow-up documentation on healing
  • Misclassification of fracture severity

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on fracture type, location, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or accidents in children.

Billing Considerations

Consideration of growth plate involvement and potential for future complications.

Pediatrics

Documentation Requirements

Growth and development considerations, as well as family history of bone health.

Common Clinical Scenarios

Injuries from play, sports, or accidents leading to forearm fractures.

Billing Considerations

Understanding the implications of fractures on growth and development.

Coding Guidelines

Inclusion Criteria

Use S52.21 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and laterality
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S52.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, ulna

Clinical Scenario

Used when a greenstick fracture is treated without surgical intervention.

Documentation Requirements

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

Specialty Considerations

Orthopedic specialists should ensure accurate coding based on treatment 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, including greenstick fractures, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including greenstick fractures, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including greenstick fractures, which enhances the accuracy of patient records and treatment plans.

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 a greenstick fracture?

A greenstick fracture is an incomplete fracture where the bone bends and cracks on one side without breaking completely, commonly seen in children.