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ICD-10 Guide
ICD-10 CodesS52.24

S52.24

Billable

Spiral fracture of shaft of ulna

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

Code Description

ICD-10 S52.24 is a billable code used to indicate a diagnosis of spiral fracture of shaft of ulna.

Key Diagnostic Point:

A spiral fracture of the shaft of the ulna is a type of bone fracture characterized by a helical break along the length of the ulna, which is one of the two long bones in the forearm. This injury often occurs due to a twisting force applied to the arm, commonly seen in sports injuries, falls, or accidents. The fracture can lead to significant pain, swelling, and limited mobility in the affected arm. In cases where the fracture is displaced, there may be a risk of injury to surrounding soft tissues, including muscles, nerves, and blood vessels. Complications such as compartment syndrome can arise if swelling increases pressure within the muscle compartments of the forearm, potentially leading to muscle and nerve damage. Treatment typically involves orthopedic fixation procedures, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture and promote healing. Rehabilitation is crucial for restoring function and strength to the arm post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between spiral and other types of fractures (e.g., transverse, oblique)
  • Understanding the implications of associated soft tissue injuries
  • Identifying the need for surgical intervention versus conservative management
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to note associated soft tissue injuries
  • Misclassification of fracture type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or high-impact accidents.

Billing Considerations

Ensure accurate documentation of fracture type, treatment methods, and any complications.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging results, and treatment provided.

Common Clinical Scenarios

Patients presenting with acute pain and swelling after trauma.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S52.24 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include any associated conditions such as compartment syndrome if applicable

Exclusion Criteria

Do NOT use S52.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Open treatment of fracture of ulna

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Operative report detailing the procedure, materials used, and post-operative care.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure to match the diagnosis.

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 the ability to capture the type and location of the fracture more accurately, which aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the type and location of the fracture more accurately, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the type and location of the fracture more accurately, which aids in better patient management and resource allocation.

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 primary cause of a spiral fracture of the ulna?

Spiral fractures of the ulna are primarily caused by a twisting force applied to the forearm, often seen in sports injuries, falls, or accidents.

How is a spiral fracture of the ulna treated?

Treatment may involve immobilization with a cast or surgical intervention for stabilization, depending on the fracture's severity and displacement.