ICD-10-CM Billable Code

S52.542

Smith's fracture of left radius

Clinical Classification Guidelines

Medical Intelligence & Overview

Smith's fracture, also known as a reverse Colles' fracture, is a specific type of fracture of the radius bone in the forearm. When it occurs on the left side, it involves the left radius. This injury typically results from a fall onto a flexed wrist or direct trauma, causing the bone to break and shift. Recognized under the ICD-10 code S52.542, Smith's fracture requires prompt assessment and management to ensure proper healing and restore function to the affected limb.

Causes & Symptoms

Clinical Causes: Falling onto a flexed wrist with impact on the back of the hand Direct blow or trauma to the forearm Sports injuries involving falls or collisions Accidents during activities such as cycling or skating Twisting injuries from falls or impacts

Key Symptoms: Pain and tenderness around the wrist and forearm Swelling and bruising in the injured area Deformity or visible bump at the fracture site Difficulty moving or gripping objects Numbness or tingling sensations if nerves are affected Inability to bear weight or perform normal wrist movements

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a Smith's fracture involves a combination of clinical evaluation and imaging studies. The healthcare provider will examine the wrist for signs of deformity, swelling, and tenderness. To confirm the diagnosis and assess the extent of the injury, X-ray imaging is essential. The radiographs will reveal the characteristic fracture pattern, including a displaced fracture of the distal radius with volar (palm-side) angulation, which distinguishes it from other forearm fractures. Additional imaging or tests are rarely needed but can be performed if there is concern about associated injuries.

Treatment Protocols: Treatment for a Smith's fracture generally aims to realign the broken bone and stabilize it for healing. Options include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S52.542 a billable ICD-10 code?
Yes, S52.542 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S52.542?
Clinical documentation must specify the nature of Smith's fracture of left radius and any associated comorbidities for accurate reporting.

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