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ICD-10 Guide
ICD-10 CodesS52.323

S52.323

Billable

Displaced transverse fracture of shaft of unspecified radius

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

Code Description

ICD-10 S52.323 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of unspecified radius.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the radius is a type of bone injury characterized by a break that occurs across the width of the bone, resulting in the bone fragments being misaligned. This injury typically occurs due to high-impact trauma, such as falls or accidents, and is common in both adults and children. The radius is one of the two long bones in the forearm, and its shaft is the long, straight portion between the proximal and distal ends. Displacement refers to the misalignment of the fracture fragments, which can complicate healing and may require surgical intervention. In cases where the fracture is near the elbow, it can impact the joint's function and lead 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, such as internal fixation with plates and screws or external fixation, to stabilize the fracture and promote proper healing. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of displacement
  • Potential for associated injuries (e.g., elbow fractures)
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries
  • Incorrect coding of the radius vs. ulna fractures
  • Lack of clarity on treatment plans (surgical vs. non-surgical)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture, displacement, and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute pain and swelling in the forearm after trauma.

Billing Considerations

Accurate coding requires clear documentation of the mechanism of injury and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S52.323 When
  • According to ICD
  • 10 coding guidelines, S52
  • 323 should be used when the fracture is confirmed as displaced and transverse
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S52.323 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Closed treatment of radius fracture

Clinical Scenario

Used when a closed reduction is performed for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and any imaging used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment.

25605CPT Code

Open treatment of radius fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Comprehensive surgical notes and post-operative care documentation.

Specialty Considerations

Ensure that all surgical details are accurately captured for billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the accuracy of patient records and reimbursement processes. S52.323 provides a clear distinction for displaced fractures, which is critical for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding fractures, improving the accuracy of patient records and reimbursement processes. S52.323 provides a clear distinction for displaced fractures, which is critical for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.323 provides a clear distinction for displaced fractures, which is critical for treatment planning.

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 S52.323 and S52.321?

S52.323 refers to a displaced transverse fracture of the radius shaft, while S52.321 refers to a non-displaced transverse fracture. The distinction is crucial for treatment and coding.