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ICD-10 Guide
ICD-10 CodesS52.28

S52.28

Billable

Bent bone of ulna

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

Code Description

ICD-10 S52.28 is a billable code used to indicate a diagnosis of bent bone of ulna.

Key Diagnostic Point:

The ICD-10 code S52.28 refers to a bent bone of the ulna, which is a type of fracture characterized by a deformity in the ulna bone, typically resulting from trauma or stress. This condition is often seen in the context of elbow fractures, where the ulna may be subjected to excessive force, leading to bending rather than a complete fracture. Such injuries can occur in various scenarios, including falls, sports injuries, or accidents. The bent bone may not only affect the ulna but can also impact the radius, leading to complications such as compartment syndrome, where increased pressure within the muscle compartments can compromise blood flow and nerve function. Treatment often involves orthopedic fixation procedures, which may include the use of plates, screws, or rods to stabilize the bone and allow for proper healing. Accurate coding of this condition is crucial for appropriate management and reimbursement, as it can significantly affect the patient's recovery trajectory and the healthcare provider's billing processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation of ulna injuries
  • Potential for associated injuries to the radius
  • Risk of complications such as compartment syndrome
  • Need for detailed documentation of the mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Misclassification of the type of fracture
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Ensure that all associated injuries are documented to support the complexity of the case.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute elbow pain following trauma.

Billing Considerations

Accurate coding of the mechanism of injury is critical for proper treatment and billing.

Coding Guidelines

Inclusion Criteria

Use S52.28 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the condition is specifically documented
  • Include any relevant details about the injury and treatment

Exclusion Criteria

Do NOT use S52.28 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of distal radius fracture

Clinical Scenario

Used when performing fixation of both radius and ulna fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons should ensure all relevant details are captured.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like bent bone of the ulna, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like bent bone of the ulna, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like bent bone of the ulna, improving the accuracy of diagnoses 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 S52.28 and S52.27?

S52.28 refers specifically to a bent bone of the ulna, while S52.27 indicates a non-displaced fracture of the ulna. Accurate documentation is essential to determine the correct code.