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ICD-10 Guide
ICD-10 CodesS52.343

S52.343

Billable

Displaced spiral fracture of shaft of radius, unspecified arm

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

Code Description

ICD-10 S52.343 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of radius, unspecified arm.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the radius is characterized by a helical fracture line that encircles the bone, resulting in a misalignment of the bone fragments. This type of fracture typically occurs due to a twisting force applied to the arm, often seen in sports injuries or falls. The radius is one of the two long bones in the forearm, and its shaft is the central part of the bone. Displacement refers to the misalignment of the fracture fragments, which can lead to complications such as impaired function of the wrist and hand, and may necessitate surgical intervention. In cases where the fracture is not properly aligned, there is a risk of developing complications such as compartment syndrome, where increased pressure within the muscle compartments can lead to muscle and nerve damage. Treatment often involves orthopedic fixation procedures, such as the use of plates, screws, or intramedullary nails to stabilize the fracture and promote 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
  • Differentiation between open and closed fractures
  • Potential for associated injuries to the elbow or ulna

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries
  • Incorrect coding of the arm involved
  • 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 for accurate coding.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment provided, and any complications.

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 arm after trauma.

Billing Considerations

Accurate documentation of the mechanism of injury and initial treatment is critical.

Coding Guidelines

Inclusion Criteria

Use S52.343 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture type, location, and displacement are accurately documented
  • Include any associated conditions or complications

Exclusion Criteria

Do NOT use S52.343 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25607CPT Code

Open treatment of distal radius fracture

Clinical Scenario

Used when surgical intervention is required for a displaced spiral fracture.

Documentation Requirements

Operative reports detailing the procedure and any fixation devices used.

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 allows for more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S52.343 provides detailed information about the fracture type, which is essential for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S52.343 provides detailed information about the fracture type, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S52.343 provides detailed information about the fracture type, which is essential 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 a spiral fracture and other types of fractures?

A spiral fracture is characterized by a helical fracture line that encircles the bone, typically caused by a twisting force, whereas other fractures, such as transverse or oblique fractures, have different fracture line orientations.