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ICD-10 Guide
ICD-10 CodesS52.26

S52.26

Billable

Segmental fracture of shaft of ulna

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

Code Description

ICD-10 S52.26 is a billable code used to indicate a diagnosis of segmental fracture of shaft of ulna.

Key Diagnostic Point:

A segmental fracture of the shaft of the ulna is characterized by two or more fracture lines that create separate segments of the bone. This type of fracture often results from high-energy trauma, such as falls or motor vehicle accidents, and can be associated with injuries to surrounding soft tissues, including muscles, tendons, and nerves. Segmental fractures can lead to complications such as compartment syndrome, where increased pressure within a muscle compartment can compromise blood flow and tissue viability. In the context of elbow fractures, segmental fractures of the ulna may occur alongside fractures of the radius or other elbow structures, necessitating careful evaluation and management. Treatment typically involves orthopedic fixation procedures, which may include the use of plates, screws, or intramedullary nails to stabilize the fracture and promote healing. Proper alignment and stabilization are crucial to restore function and prevent long-term complications, such as malunion or nonunion of the fracture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications.
  • Involves knowledge of associated injuries and complications.
  • May require differentiation from other types of ulnar fractures.
  • Documentation must specify the segmental nature of the fracture.

Audit Risk Factors

  • Inadequate documentation of fracture type and location.
  • Failure to note associated injuries or complications.
  • Incorrect coding of the fracture as non-segmental.
  • Lack of clarity in operative reports regarding fixation methods.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential to support the diagnosis and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the segmental nature of the fracture and any associated injuries.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm or elbow region.

Billing Considerations

Timely documentation is crucial for coding accuracy, especially in trauma cases.

Coding Guidelines

Inclusion Criteria

Use S52.26 When
  • According to ICD
  • 10 guidelines, S52
  • 26 should be used when the fracture is specifically described as segmental
  • Coders must ensure that documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S52.26 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of segmental fracture of ulna

Clinical Scenario

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

Documentation Requirements

Operative report detailing the procedure, fixation method, and any complications.

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, including segmental fractures, which improves the accuracy of patient records and facilitates better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including segmental fractures, which improves the accuracy of patient records and facilitates better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including segmental fractures, which improves the accuracy of patient records and facilitates better tracking of treatment 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 a segmental fracture?

A segmental fracture involves two or more fracture lines in the same bone, creating separate segments that may require surgical intervention for stabilization.