ICD-10 Coding for Ulna Fracture(S52.201A, S52.252B)
Complete ICD-10-CM coding and documentation guide for Ulna Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ulna Fracture
S52.2-S52.6Primary Range
Fractures of the ulna
This range includes all types of ulna fractures, categorized by location and type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.201A | Unspecified fracture of shaft of right ulna, initial encounter for closed fracture | Use when the fracture is closed and the specific type is not documented. |
|
| S52.252B | Displaced comminuted fracture of shaft of left ulna, initial encounter for open fracture | Use for open, displaced comminuted fractures with documented Gustilo classification. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for ulna fracture
Essential facts and insights about Ulna Fracture
Primary ICD-10-CM Codes for fracture ulna
Decision Criteria
clinical Criteria
- Presence of fracture on X-ray
documentation Criteria
- Documentation of closed fracture
Applicable To
- Closed fracture of shaft of right ulna
Excludes
- Open fracture of shaft of right ulna
Clinical Validation Requirements
- Radiographic evidence of fracture
- Clinical examination showing pain and swelling at mid-forearm
Code-Specific Risks
- Risk of under-documentation if fracture type is not specified
Coding Notes
- Ensure laterality and encounter type are documented.
S52.252B - Displaced comminuted fracture of shaft of left ulna, initial encounter for open fracture
Use for open, displaced comminuted fractures with documented Gustilo classification.
Applicable To
- Open comminuted fracture of shaft of left ulna
Excludes
- Closed fracture of shaft of left ulna
Clinical Validation Requirements
- Radiographic evidence of comminuted fracture
- Clinical documentation of open fracture with Gustilo classification
Coding Notes
Ensure Gustilo classification is documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ulna Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.201A.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure all available clinical details are documented., Use specific codes whenever possible.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data for clinical and administrative purposes.
Mitigation Strategy
Always document the side of the body affected by the fracture.
Impact
Failure to document Gustilo classification can lead to audit issues.
Mitigation Strategy
Ensure all open fractures are classified and documented according to Gustilo criteria.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Ulna Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ulna Fracture
Use these documentation templates to ensure complete and accurate documentation for Ulna Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Note for Ulna Shaft Fracture
Specialty: Emergency MedicineRequired Elements
- History of present illness
- Physical examination findings
- Radiographic findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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