When distal radius fractures are not simple fracture patterns, reduction may best be performed in the hands of an orthopedist or hand surgeon. Highly comminuted intra-articular fractures are unstable in anyone’s hands and will require surgery.
The humerus is the long bone of your upper arm. It extends from your shoulder to your elbow, where it joins with the ulna and radius bones of your forearm. A humerus fracture refers to any break in this bone.
The radius is one of two forearm bones and is located on the thumb side. The part of the radius connected to the wrist joint is called the distal radius. When the radius breaks near the wrist, it is called a distal radius fracture. The break usually happens due to falling on an outstretched or flexed hand.
ICD-10 Code for Unspecified fracture of shaft of left ulna- S52. 202- Codify by AAPC.
ICD-10 Code for Unspecified fracture of shaft of right ulna- S52. 201- Codify by AAPC.
Table: CodeICD10 Code (*)Code Description (*)S52.50Fracture of lower end of radius, closedS52.51Fracture of lower end of radius, openS52.6Fracture of lower end of both ulna and radiusS52.60Fracture of lower end of both ulna and radius, closed26 more rows
ICD-10 Code for Fracture of ulna styloid process- S52. 61- Codify by AAPC.
A distal ulna fracture, or isolated ulnar shaft fracture, is a type of fracture that occurs along the length of the ulna bone, which is one of the two bones in the forearm.
The distal ulna is an important weight-bearing component of the wrist joint and an essential element of the forearm articulation. After injury, significant residual malalignment or deformity of the distal ulna and deficiency of its ligamentous support have a deleterious effect on grip strength and forearm rotation.
Fracture of lower end of radius ICD-10-CM S52. 515A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
324D: Nondisplaced transverse fracture of shaft of right radius, subsequent encounter for closed fracture with routine healing.
ICD-10-CM Code for Unspecified fracture of the lower end of right radius, initial encounter for closed fracture S52. 501A.
The ulnar styloid is located at nearly the ulnar-most (the opposite side of the humerus with the elbow flexed) and slightly dorsal aspects of the ulnar head on the axial plane. It should appear almost midway (55% dorsally) from the ulnar head on the standard lateral view of the wrist in neutral forearm rotation.
There's a bony projection at the end of the ulna, near your hand, called the ulnar styloid process. It fits into the cartilage of your wrist joint and plays an important role in the strength and flexibility of your wrist and forearm. Any sort of break in this area is called an ulnar styloid fracture.
distal endThe styloid process of the ulna is a bony prominence found at distal end of the ulna in the forearm.
CPT® 25605 in section: Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed.
CPT Code: 25605 A closed reduction is a procedure that is done to restore normal alignment of a dislocated joint or fractured bone where the affected bones are simply manipulated and no incision is necessary. The bones are manipulated by applying traction and a cast is used to hold them in place.
Use 25600 for “closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; without manipulation.”
0:063:09Closed Reduction of a Distal Radius Fracture - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe procedure is more technically known as a reduction a closed reduction is when the fracture isMoreThe procedure is more technically known as a reduction a closed reduction is when the fracture is reduced without making an incision in exposing the broken bone.
The "Distal Ulna" anatomically includes the Ulnar Head (of which the Styloid Process is a part of the original Epiphysis) and Neck, which are the residual of the Distal Ulnar Epiphyseal growth in adults, and would be considered the Metaphysis. The Ulnar Neck is only a few millimeters in length.
The Distal Ulna just gets no respect. As to your dilemma regarding the coding of open treatment of the Distal Ulna Fracture, but not the Ulnar Styloid, if the fracture is through the neck (+/- into the Head), you are right there is no procedural code.
Fractures of the Distal Radius can and do occur in isolation, but an associated fracture of the Distal Ulna is very common, probably 99.0% involve the Ulnar Styloid, which can be displaced or non-displaced.