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ICD-10 Guide
ICD-10 CodesS52.221

S52.221

Billable

Displaced transverse fracture of shaft of right ulna

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

Code Description

ICD-10 S52.221 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of right ulna.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the right ulna is characterized by a complete break across the bone, which has shifted from its normal alignment. This type of fracture typically occurs due to high-energy trauma, such as falls or direct blows, and can be associated with injuries to surrounding soft tissues, including muscles and ligaments. The ulna, one of the two long bones in the forearm, plays a crucial role in the stability and function of the elbow joint. Displacement of the fracture can lead to complications such as malunion or nonunion, necessitating careful evaluation and management. In cases of significant displacement, surgical intervention may be required to realign the bone fragments and stabilize the fracture using orthopedic fixation techniques, such as plates, screws, or intramedullary nails. Additionally, there is a risk of developing compartment syndrome, a serious condition that occurs when swelling or bleeding increases pressure within a closed muscle compartment, potentially compromising blood flow and nerve function. Prompt diagnosis and treatment are essential to prevent long-term complications and ensure optimal recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and non-displaced fractures
  • Potential for associated soft tissue injuries
  • Variability in treatment approaches (surgical vs. non-surgical)

Audit Risk Factors

  • Inadequate documentation of fracture characteristics
  • Failure to note associated injuries or complications
  • Incorrect coding of laterality (right vs. left)
  • Misclassification of fracture type (transverse vs. oblique)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical interventions and post-operative care are documented to support coding.

Emergency Medicine

Documentation Requirements

Accurate assessment notes, imaging results, and initial treatment plans are critical.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm or elbow.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.221 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated conditions
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S52.221 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of ulnar shaft fracture

Clinical Scenario

Used when surgical fixation is performed for a displaced fracture of the ulna.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons should ensure that all aspects of the surgical procedure are documented.

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 details about displacement and laterality, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and laterality, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 displaced and non-displaced fracture?

A displaced fracture means that the bone has broken and the ends are not aligned, while a non-displaced fracture means the bone is broken but the ends remain in their normal position.