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ICD-10 Guide
ICD-10 CodesS52.256

S52.256

Billable

Nondisplaced comminuted fracture of shaft of ulna, unspecified arm

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

Code Description

ICD-10 S52.256 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of ulna, unspecified arm.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the ulna refers to a type of bone fracture where the ulna, one of the two long bones in the forearm, is broken into multiple pieces but remains in its anatomical position. This type of fracture can occur due to high-energy trauma, such as falls or sports injuries, and is often associated with other injuries to the elbow or wrist. The ulna plays a crucial role in forearm stability and function, and fractures in this area can lead to complications such as compartment syndrome, which is a serious condition that occurs when pressure builds up in the muscles, 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. Proper diagnosis and management are essential to ensure optimal recovery and prevent long-term complications. The unspecified arm designation indicates that the fracture could occur in either the left or right arm, which may affect treatment decisions and coding specificity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture patterns and associated injuries
  • Need for precise documentation of fracture type and location
  • Potential for complications such as compartment syndrome
  • Variability in treatment approaches and fixation methods

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of unspecified arm when laterality is known
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the fracture type, treatment plan, and any complications.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment provided in the emergency setting.

Common Clinical Scenarios

Patients presenting with acute forearm pain and swelling after trauma.

Billing Considerations

Timely documentation is crucial for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S52.256 When
  • According to ICD
  • 10 coding guidelines, S52
  • 256 should be used when the fracture is confirmed through imaging and is documented as nondisplaced and comminuted

Exclusion Criteria

Do NOT use S52.256 When
  • Exclusion criteria include fractures that are displaced or involve other specific anatomical locations

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 reports detailing the procedure and any fixation devices used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 data collection and reimbursement processes. S52.256 provides a clear distinction for nondisplaced comminuted fractures, which aids in treatment planning and outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S52.256 provides a clear distinction for nondisplaced comminuted fractures, which aids in treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S52.256 provides a clear distinction for nondisplaced comminuted fractures, which aids in treatment planning and outcome tracking.

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 means the bone fragments are misaligned.