ICD 10 CM S52.509E | Description & Clinical Information

ICD 10 S52.509E describes a fracture of the lower end of the radius, which is the larger of the two forearm bones, that occurs near the wrist joint due to a sudden or direct blow to the forearm and wrist, a motor vehicle accident, or a fall on an outstretched hand, and may or may not involve displacement of the fracture fragments, with the provider not specifying the type of fracture or the affected side, and this particular code is used for subsequent encounters for an open fracture that has healed normally, with type I or type II classification based on the Gustilo system for open long bone fractures.

Official Description Of S52.509E

The ICD 10 CM book defines ICD 10 code S52.509E as:

Unspecified fracture of the lower end of unspecified radius, subsequent encounter for open fracture type I or II with routine healing
Parent Code Notes: S52.5

Excludes2: physeal fractures of lower end of radius (S59.2-)

Parent Code Notes: S52

Excludes1: traumatic amputation of forearm (S58.-)

Excludes2: fracture at wrist and hand level (S62.-)

When To Use S52.509E

The diagnosis describes by the ICD 10 CM S52.509E code refers to a bone fracture in the lower end of the radius, which may cause various symptoms, including pain, swelling, difficulty moving the elbow, deformity in the wrist, and numbness and tingling at the affected site due to damage to blood vessels and nerves. In particular, the median nerve can be affected, leading to additional sensations of discomfort.

To diagnose this condition, medical providers typically consider the patient’s history and perform a physical examination. Additionally, imaging tests such as X-rays, magnetic resonance imaging (MRI), computed tomography (CT), and bone scans may be necessary to assess the extent of the injury and develop an appropriate treatment plan.

Fortunately, many patients with stable and closed fractures can manage their symptoms without invasive treatment. However, unstable fractures often require surgical intervention to ensure proper healing and minimize the risk of further complications. In the case of open fractures, surgery to close the wound may also be necessary.

To manage pain and swelling, medical providers may recommend applying an ice pack to the affected area. Depending on the severity of the fracture, a splint or cast may be necessary to restrict limb movement and promote healing. In certain cases, patients may also benefit from exercises designed to improve the flexibility, strength, and range of motion of their arm.

Additionally, analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to help alleviate pain associated with the fracture. While such medications can be helpful, it is important to follow dosing instructions carefully to avoid potential side effects.

Finally, patients may also require treatment for any secondary injuries or conditions that may have resulted from the fracture. For example, if the fracture caused damage to other tissues or organs, further medical interventions may be necessary to address these issues.

Overall, while a diagnosis of an unspecified fracture of the lower end of the radius can be challenging for patients and medical providers alike, a combination of appropriate diagnostic tools and evidence-based treatments can help manage this condition and promote optimal outcomes.

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