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ICD-10 Guide
ICD-10 CodesS52.253

S52.253

Billable

Displaced comminuted fracture of shaft of ulna, unspecified arm

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

Code Description

ICD-10 S52.253 is a billable code used to indicate a diagnosis of displaced comminuted fracture of shaft of ulna, unspecified arm.

Key Diagnostic Point:

A displaced comminuted fracture of the shaft of the ulna is characterized by the breaking of the ulna bone into multiple fragments, with the fragments being misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls or accidents, and can be associated with injuries to surrounding soft tissues, including muscles and nerves. The ulna is one of the two long bones in the forearm, and its shaft is crucial for forearm stability and function. Patients may present with significant pain, swelling, and deformity of the arm, and may have difficulty moving the wrist and elbow. Complications can include compartment syndrome, which is a serious condition that occurs when swelling leads to increased pressure within the muscle compartments, potentially compromising blood flow and nerve function. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws, to realign the bone fragments and stabilize the fracture for proper healing. Rehabilitation is essential to restore function and strength to the arm following the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture patterns and severity
  • Need for precise documentation of displacement and comminution
  • Potential for associated soft tissue injuries
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to note associated injuries or complications
  • Incorrect coding of the arm involved
  • Lack of clarity on treatment procedures performed

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Timely documentation is critical to capture the nature of the injury and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S52.253 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, location, and any associated complications
  • Include details on treatment methods and any follow
  • up care

Exclusion Criteria

Do NOT use S52.253 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 comminuted fracture of the ulna.

Documentation Requirements

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

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 accuracy of claims and facilitating better patient care tracking. S52.253 provides detailed information that can impact treatment decisions and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care tracking. S52.253 provides detailed information that can impact treatment decisions and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care tracking. S52.253 provides detailed information that can impact treatment decisions and outcomes.

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 comminuted fracture and a simple fracture?

A comminuted fracture involves the bone breaking into multiple fragments, while a simple fracture is a clean break with two pieces. Comminuted fractures often require more complex treatment and have a higher risk of complications.