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ICD-10 Guide
ICD-10 CodesS52.3

S52.3

Billable

Fracture of shaft of radius

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

Code Description

ICD-10 S52.3 is a billable code used to indicate a diagnosis of fracture of shaft of radius.

Key Diagnostic Point:

A fracture of the shaft of the radius typically occurs due to trauma, such as a fall onto an outstretched hand or direct impact. This injury can lead to significant pain, swelling, and functional impairment of the forearm and wrist. The radius is one of the two long bones in the forearm, and its shaft is the long, cylindrical portion between the proximal and distal ends. Fractures in this area can be classified as closed or open, depending on whether the skin is broken. Complications may include malunion, nonunion, or compartment syndrome, which is a serious condition that can occur when swelling increases pressure within the muscle compartments of the forearm, potentially leading to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as internal fixation with plates and screws or external fixation, to stabilize the fracture and promote healing. Rehabilitation is crucial to restore function and strength to the affected limb. Accurate coding requires careful documentation of the fracture type, treatment provided, and any complications that arise during the healing process.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between closed and open fractures
  • Identifying associated injuries (e.g., elbow fractures, ulna injuries)
  • Documenting complications such as compartment syndrome
  • Understanding the specifics of orthopedic fixation procedures

Audit Risk Factors

  • Inadequate documentation of fracture type (closed vs. open)
  • Failure to document associated injuries or complications
  • Incorrect coding of treatment procedures
  • Lack of follow-up documentation on healing progress

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fixation methods and any complications encountered during surgery.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute trauma to the forearm requiring immediate evaluation and stabilization.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed to avoid coding errors.

Coding Guidelines

Inclusion Criteria

Use S52.3 When
  • Follow the official ICD
  • CM coding guidelines for fractures, including the need to specify the type of fracture and any associated complications
  • Ensure compliance with documentation standards for surgical procedures and follow
  • up care

Exclusion Criteria

Do NOT use S52.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of radial shaft fracture

Clinical Scenario

Used when surgical intervention is performed for a shaft fracture.

Documentation Requirements

Operative report detailing the procedure and fixation method.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fixation technique used.

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 ability to capture the complexity of injuries like S52.3. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the complexity of injuries like S52.3. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the complexity of injuries like S52.3. This specificity aids in better patient management and resource allocation.

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 are the common causes of a shaft fracture of the radius?

Common causes include falls, sports injuries, and accidents involving direct trauma to the forearm.

How is a shaft fracture of the radius treated?

Treatment may involve conservative management with casting or surgical intervention with fixation, depending on the fracture's severity and type.