ICD-10 Coding for Olecranon Fracture(S52.021A, S52.031J)
Complete ICD-10-CM coding and documentation guide for Olecranon Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Olecranon Fracture
S52.00-S52.09Primary Range
Fracture of ulna
This range includes all types of ulnar fractures, including olecranon fractures, which are specific to the proximal ulna.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.021A | Displaced fracture of olecranon process without intraarticular extension, right ulna, initial encounter for closed fracture | Use when the fracture is displaced but does not involve the joint surface. |
|
| S52.031J | Displaced fracture of olecranon process with intraarticular extension, right ulna, subsequent encounter for fracture with delayed healing | Use for subsequent encounters when healing is delayed and the fracture involves the joint. |
|
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 olecranon fracture
Essential facts and insights about Olecranon Fracture
Primary ICD-10-CM Codes for olecranon fracture
Decision Criteria
clinical Criteria
- Displacement without joint involvement
documentation Criteria
- Specify laterality and displacement
Applicable To
- Displaced transverse fracture of right olecranon
Excludes
- Fracture with intraarticular extension
Clinical Validation Requirements
- X-ray confirming displacement without joint involvement
Code-Specific Risks
- Missing laterality
- Not specifying displacement
Coding Notes
- Ensure documentation specifies displacement and lack of joint involvement.
S52.031J - Displaced fracture of olecranon process with intraarticular extension, right ulna, subsequent encounter for fracture with delayed healing
Use for subsequent encounters when healing is delayed and the fracture involves the joint.
Applicable To
- Delayed healing of intraarticular olecranon fracture
Excludes
- Non-displaced fractures
Clinical Validation Requirements
- CT scan confirming intraarticular extension
Coding Notes
Ensure documentation of delayed healing and joint involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around internal elbow prosthesis
M97.3-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced fracture of olecranon process with intraarticular extension, right ulna, initial encounter for closed fracture
S52.031ADisplaced fracture of olecranon process without intraarticular extension, right ulna, initial encounter for closed fracture
S52.021ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Olecranon Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.021A.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terminology, Verify with imaging
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always specify right or left in documentation.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory laterality checks in documentation.
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 Olecranon Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Olecranon Fracture
Use these documentation templates to ensure complete and accurate documentation for Olecranon Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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