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ICD-10 Guide
ICD-10 CodesS52.225

S52.225

Billable

Nondisplaced transverse fracture of shaft of left ulna

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

Code Description

ICD-10 S52.225 is a billable code used to indicate a diagnosis of nondisplaced transverse fracture of shaft of left ulna.

Key Diagnostic Point:

A nondisplaced transverse fracture of the shaft of the left ulna is characterized by a break in the bone that does not result in the bone fragments being displaced from their normal alignment. This type of fracture typically occurs due to direct trauma or a fall onto an outstretched hand, which is common in sports injuries or accidents. The ulna is one of the two long bones in the forearm, and its shaft is the central part of the bone. While the fracture may not require surgical intervention due to its nondisplaced nature, it is crucial to monitor for potential complications such as compartment syndrome, which can occur if swelling leads to increased pressure within the muscle compartments of the forearm. Treatment often involves immobilization with a cast or splint, and follow-up imaging may be necessary to ensure proper healing. Understanding the implications of this fracture is essential for orthopedic specialists, as it can affect the function of the elbow and wrist, necessitating careful rehabilitation and monitoring.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of the fracture
  • Potential for associated injuries in the radius or elbow
  • Need for accurate documentation of the mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to note associated injuries or complications
  • Incorrect coding of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation on healing progress

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the fracture type, location, and treatment plan, including imaging results.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or direct trauma to the forearm.

Billing Considerations

Ensure clarity on whether the fracture is open or closed, and document any surgical interventions if performed.

Emergency Medicine

Documentation Requirements

Accurate assessment of the injury mechanism, initial treatment provided, and any imaging performed.

Common Clinical Scenarios

Patients presenting with acute forearm pain following trauma.

Billing Considerations

Document any signs of compartment syndrome or neurovascular compromise.

Coding Guidelines

Inclusion Criteria

Use S52.225 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the treatment plan and follow
  • up care

Exclusion Criteria

Do NOT use S52.225 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of fracture of ulna

Clinical Scenario

Used when the 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 type.

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 the accuracy of patient records and treatment plans. S52.225 provides a clear distinction for nondisplaced fractures, aiding in better management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S52.225 provides a clear distinction for nondisplaced fractures, aiding in better management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 nondisplaced fracture?

A displaced fracture involves the bone fragments being misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the break.