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ICD-10 Guide
ICD-10 CodesS52.22

S52.22

Billable

Transverse fracture of shaft of ulna

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

Code Description

ICD-10 S52.22 is a billable code used to indicate a diagnosis of transverse fracture of shaft of ulna.

Key Diagnostic Point:

A transverse fracture of the shaft of the ulna is characterized by a break that runs horizontally across the bone, typically occurring in the mid-shaft region. This type of fracture is often the result of direct trauma or a fall onto an outstretched hand, which can also involve the radius. Clinically, patients may present with pain, swelling, and limited range of motion in the elbow and wrist. The fracture may be associated with other injuries, such as a fracture of the radius or elbow dislocation. Complications can include compartment syndrome, which is a serious condition that arises when swelling or bleeding increases pressure within a closed muscle compartment, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws or external fixation, depending on the fracture's stability and alignment. Proper assessment through imaging, such as X-rays, is crucial for diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of fractures (transverse vs. oblique vs. spiral)
  • Potential for associated injuries (e.g., radius fractures, elbow dislocations)
  • Need for detailed documentation of fracture characteristics
  • Variability in treatment approaches (conservative vs. surgical)

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of treatment procedures
  • Lack of follow-up documentation for complications

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 motor vehicle accidents.

Billing Considerations

Ensure that all associated injuries are documented to avoid undercoding.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma to the arm or wrist.

Billing Considerations

Accurate coding of the mechanism of injury is crucial for proper reimbursement.

Coding Guidelines

Inclusion Criteria

Use S52.22 When
  • According to ICD
  • 10 coding guidelines, S52
  • 22 should be used when the fracture is confirmed through imaging
  • It is important to document the specific location and type of fracture, as well as any associated injuries

Exclusion Criteria

Do NOT use S52.22 When
  • Exclusion criteria include fractures that are not transverse or those that involve the joint

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture, ulna, without manipulation

Clinical Scenario

Used for non-displaced transverse fractures treated conservatively.

Documentation Requirements

Document the type of fracture and treatment plan.

Specialty Considerations

Orthopedic surgeons should provide detailed operative notes if surgery is performed.

25605CPT Code

Open treatment of fracture, ulna, with internal fixation

Clinical Scenario

Used for displaced transverse fractures requiring surgical intervention.

Documentation Requirements

Comprehensive operative report detailing the procedure and any complications.

Specialty Considerations

Ensure that all associated injuries are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to distinguish between different types of ulna fractures. This has improved the accuracy of coding and billing, leading to better reimbursement and tracking of patient outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to distinguish between different types of ulna fractures. This has improved the accuracy of coding and billing, leading to better reimbursement and tracking of patient outcomes.

Reimbursement & Billing Impact

billing, leading to better reimbursement and tracking of patient outcomes.

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 transverse fracture and other types of fractures?

A transverse fracture is characterized by a horizontal break across the bone, while other types, such as oblique or spiral fractures, have different angles and patterns of breakage. This distinction is important for treatment and coding.