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ICD-10 Guide
ICD-10 CodesS52.301

S52.301

Billable

Unspecified fracture of shaft of right radius

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

Code Description

ICD-10 S52.301 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of right radius.

Key Diagnostic Point:

An unspecified fracture of the shaft of the right radius typically occurs due to trauma, such as falls or direct blows. This injury can result in pain, swelling, and limited range of motion in the wrist and elbow. The radius is one of the two long bones in the forearm, and fractures in this area can lead to complications such as malunion or nonunion if not properly treated. The shaft of the radius is particularly vulnerable to fractures due to its location and the forces exerted during falls. Patients may present with tenderness, deformity, and functional impairment. Diagnosis is confirmed through imaging studies, primarily X-rays, which help to determine the fracture's location and severity. Treatment options may include conservative management with immobilization or surgical intervention, depending on the fracture's characteristics and the patient's overall health. Complications such as compartment syndrome, which can occur due to swelling and increased pressure within the muscle compartments of the forearm, must be monitored closely. Proper orthopedic fixation procedures may be necessary to ensure proper alignment and healing of the fracture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Potential for complications such as compartment syndrome
  • Need for precise documentation of injury mechanism
  • Differentiation from other upper extremity fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated injuries
  • Lack of follow-up documentation on treatment outcomes
  • Improper linkage of diagnosis to treatment codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of injury mechanism, initial treatment provided, and any imaging results.

Common Clinical Scenarios

Patients presenting with acute pain and swelling after trauma.

Billing Considerations

Document any immediate interventions and referrals to orthopedic specialists.

Coding Guidelines

Inclusion Criteria

Use S52.301 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's specifics and any associated conditions

Exclusion Criteria

Do NOT use S52.301 When
  • Exclude codes for fractures that are more specifically defined

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of distal radius fracture

Clinical Scenario

Used when a closed reduction is performed for a distal radius fracture.

Documentation Requirements

Document the type of fracture, treatment provided, and any follow-up care.

Specialty Considerations

Orthopedic specialists should ensure accurate coding based on the fracture's specifics.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding, which can improve the accuracy of claims and patient records. However, the use of unspecified codes like S52.301 may lead to increased scrutiny during audits.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding, which can improve the accuracy of claims and patient records. However, the use of unspecified codes like S52.301 may lead to increased scrutiny during audits.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding, which can improve the accuracy of claims and patient records. However, the use of unspecified codes like S52.301 may lead to increased scrutiny during audits.

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 S52.301 and S52.302?

S52.301 refers to an unspecified fracture of the shaft of the right radius, while S52.302 refers to the same type of fracture on the left side. Accurate coding requires specifying the side of the injury.