ICD-10 S52.253F

Description

Displaced comminuted fracture of shaft of ulna, unspecified arm, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing

Common Specialties

Family Medicine, Emergency Medicine, Orthopedics

Documentation Requirements

• Document clinical indications and clear medical necessity supporting the encounter or procedure.
• Ensure complete provider signatures, credentials, date, and specific place of service (POS).
• Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

• Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
• Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
• Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

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