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ICD-10 Guide
ICD-10 CodesS52.255

S52.255

Billable

Nondisplaced comminuted fracture of shaft of ulna, left arm

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

Code Description

ICD-10 S52.255 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of ulna, left arm.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the ulna occurs when the bone is broken into multiple pieces but the fragments remain in their normal anatomical position. This type of fracture is often the result of high-energy trauma, such as falls or sports injuries. The ulna, one of the two long bones in the forearm, plays a crucial role in the stability and function of the wrist and elbow. While the fracture itself may not cause significant displacement, it can lead to complications such as compartment syndrome, which is a serious condition that occurs when pressure builds up within the muscles, potentially leading to muscle and nerve damage. Treatment typically involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to ensure proper healing and restore function. Understanding the nuances of this fracture type is essential for accurate coding and appropriate management of the patient's care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the implications of comminuted fractures
  • Identifying associated injuries to the radius or elbow
  • Recognizing potential complications such as compartment syndrome

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture displacement
  • Lack of clarity in operative reports for surgical interventions

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 falls, sports injuries, or motor vehicle accidents.

Billing Considerations

Ensure that all relevant details about the fracture type, location, and treatment are documented.

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm or wrist.

Billing Considerations

Document any immediate interventions and the patient's response to treatment.

Coding Guidelines

Inclusion Criteria

Use S52.255 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and location
  • Include any associated conditions or complications, such as compartment syndrome, to support the coding

Exclusion Criteria

Do NOT use S52.255 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 intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure performed and any implants used.

Specialty Considerations

Orthopedic surgeons must provide comprehensive documentation to support the procedure.

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 details about displacement and comminution, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and comminution, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and comminution, which enhances the accuracy of patient records and treatment plans.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.