2024 ICD-10-CM Diagnosis Code S52.00

Unspecified fracture of upper end of ulna

ICD-10-CM Code:
S52.00
ICD-10 Code for:
Unspecified fracture of upper end of ulna
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the elbow and forearm
      (S50-S59)
      • Fracture of forearm
        (S52)

S52.00 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified fracture of upper end of ulna. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S52.00 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Unspecified fracture of upper end of ulna

Non-specific codes like S52.00 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for unspecified fracture of upper end of ulna:

  • S52.001 for Unspecified fracture of upper end of right ulna - NON-BILLABLE CODE

  • Use S52.001A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.001B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.001C for or IIIC - BILLABLE CODE

  • Use S52.001D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.001E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.001F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.001G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.001H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.001J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.001K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.001M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.001N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.001P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.001Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.001R for or IIIC with malunion - BILLABLE CODE

  • Use S52.001S for sequela - BILLABLE CODE

  • S52.002 for Unspecified fracture of upper end of left ulna - NON-BILLABLE CODE

  • Use S52.002A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.002B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.002C for or IIIC - BILLABLE CODE

  • Use S52.002D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.002E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.002F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.002G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.002H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.002J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.002K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.002M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.002N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.002P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.002Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.002R for or IIIC with malunion - BILLABLE CODE

  • Use S52.002S for sequela - BILLABLE CODE

  • S52.009 for Unspecified fracture of upper end of unspecified ulna - NON-BILLABLE CODE

  • Use S52.009A for initial encounter for closed fracture - BILLABLE CODE

  • Use S52.009B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S52.009C for or IIIC - BILLABLE CODE

  • Use S52.009D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S52.009E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S52.009F for or IIIC with routine healing - BILLABLE CODE

  • Use S52.009G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S52.009H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S52.009J for or IIIC with delayed healing - BILLABLE CODE

  • Use S52.009K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S52.009M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S52.009N for or IIIC with nonunion - BILLABLE CODE

  • Use S52.009P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S52.009Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S52.009R for or IIIC with malunion - BILLABLE CODE

  • Use S52.009S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Elbow Injuries and Disorders

Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.

Many things can make your elbow hurt. A common cause is tendinitis, an inflammation or injury to the tendons that attach muscle to bone. Tendinitis of the elbow is a sports injury, often from playing tennis or golf. You may also get tendinitis from overuse of the elbow.

Other causes of elbow pain include sprains and strains, fractures (broken bones), dislocations, bursitis, and arthritis. Treatment depends on the cause.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.