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ICD-10 Guide
ICD-10 CodesS52.223

S52.223

Billable

Displaced transverse fracture of shaft of unspecified ulna

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

Code Description

ICD-10 S52.223 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of unspecified ulna.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the ulna is characterized by a break in the bone that occurs across the shaft, resulting in the bone fragments being misaligned. This type of fracture is often caused by direct trauma or falls, particularly in activities involving the upper extremities. The ulna, one of the two long bones in the forearm, plays a crucial role in the stability and function of the elbow joint. Such fractures can lead to complications, including malunion or nonunion, and may affect the range of motion in the elbow and wrist. In cases where the fracture is displaced, orthopedic intervention is often necessary to realign the bone fragments. This may involve closed reduction and immobilization or surgical fixation using plates, screws, or intramedullary nails. Compartment syndrome is a potential complication that can arise from swelling or bleeding within the forearm compartments, necessitating prompt recognition and treatment to prevent permanent damage. Accurate coding of this fracture is essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of displacement
  • Potential for associated injuries to the radius or elbow
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of laterality or unspecified location
  • Inconsistent use of modifiers for surgical procedures

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 accidents requiring surgical intervention.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm requiring immediate evaluation and stabilization.

Billing Considerations

Timely documentation is critical to ensure accurate coding and billing for emergency interventions.

Coding Guidelines

Inclusion Criteria

Use S52.223 When
  • According to ICD
  • 10 coding guidelines, fractures should be coded based on the type, location, and displacement
  • The S52
  • 223 code specifically applies to displaced transverse fractures of the ulna shaft
  • Coders must ensure that documentation supports the diagnosis and treatment provided
  • displaced fractures and fractures of the distal or proximal ulna

Exclusion Criteria

Do NOT use S52.223 When
  • Exclusion criteria include non

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture of ulna

Clinical Scenario

Used when a closed reduction is performed for a displaced ulna fracture.

Documentation Requirements

Operative report detailing the reduction and immobilization technique.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment.

24500CPT Code

Open treatment of fracture of ulna

Clinical Scenario

Used when surgical fixation is required for a displaced ulna fracture.

Documentation Requirements

Detailed operative report and post-operative care notes.

Specialty Considerations

Documentation must include the type of fixation used and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding fractures, including the ability to denote displacement and specific locations. This has improved the accuracy of coding and billing, ensuring that healthcare providers are reimbursed appropriately for the complexity of care provided.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding fractures, including the ability to denote displacement and specific locations. This has improved the accuracy of coding and billing, ensuring that healthcare providers are reimbursed appropriately for the complexity of care provided.

Reimbursement & Billing Impact

billing, ensuring that healthcare providers are reimbursed appropriately for the complexity of care provided.

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 S52.223 and S52.221?

S52.223 refers to a displaced transverse fracture of the ulna shaft, while S52.221 refers to a non-displaced transverse fracture. The distinction is important for treatment and coding purposes.

When should I use S52.223?

Use S52.223 when documentation indicates a displaced transverse fracture of the ulna shaft, particularly when surgical intervention is required.