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ICD-10 Guide
ICD-10 CodesS52.243

S52.243

Billable

Displaced spiral fracture of shaft of ulna, unspecified arm

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

Code Description

ICD-10 S52.243 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of ulna, unspecified arm.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the ulna is characterized by a helical fracture line that encircles the bone, resulting in a misalignment of the bone fragments. This type of fracture often occurs due to a twisting injury or a fall onto an outstretched hand, which can also impact the radius. The ulna is one of the two long bones in the forearm, and its shaft is critical for forearm stability and function. Displacement indicates that the fracture fragments are not aligned, which can lead to complications such as malunion or nonunion if not properly managed. Treatment typically involves orthopedic fixation procedures, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture. In cases where there is significant soft tissue injury or risk of compartment syndrome, surgical intervention may be necessary to relieve pressure and restore blood flow. Accurate coding of this condition is essential for appropriate treatment planning 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 (e.g., radius fractures)
  • Differentiation from non-displaced fractures

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries
  • Incorrect coding of the arm involved (left vs. right)
  • Lack of clarity on treatment provided

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and notes on fracture alignment.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Accurate documentation of mechanism of injury and initial treatment provided is crucial.

Coding Guidelines

Inclusion Criteria

Use S52.243 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include laterality and specify if the fracture is open or closed when applicable

Exclusion Criteria

Do NOT use S52.243 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.

Documentation Requirements

Operative report detailing the procedure and fracture type.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation method.

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 ability to capture the complexity of injuries like S52.243, which enhances clinical data accuracy and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the complexity of injuries like S52.243, which enhances clinical data accuracy 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 non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the fracture.