S52.571A Other intraarticular fracture of lower end of right radius, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Other intraarticular fracture of lower end of right radius, initial encounter for closed fracture
- Also known as a "distal radius fracture" when referring to the lower end of the radius bone near the wrist.

#### Summary
- This condition involves a fracture at the lower end of the radius near the wrist joint. The term "intraarticular" indicates that the fracture extends into the wrist joint itself. At the initial encounter, the fracture is closed, meaning the skin around the fracture has not been disrupted.

#### Causes
- Typically caused by trauma such as a fall onto an outstretched hand (FOOSH), vehicular accidents, or direct blows to the wrist area.

#### Risk Factors
- Older age, especially in post-menopausal women due to reduced bone density.
- Participation in high-impact sports or activities that increase risk of falls.
- Osteoporosis or other conditions resulting in weakened bones.

#### Symptoms
- Pain, swelling, and tenderness in the wrist area.
- Visible deformity or inability to move the wrist.
- Bruising may occur around the affected area.

#### Diagnosis
- Physical examination to assess pain, swelling, and mobility.
- Imaging tests, primarily X-rays, to confirm the presence and extent of the fracture.

#### Treatment Options
- **Non-Surgical**: Casting or splinting to immobilize the wrist and allow for bone healing.
- **Surgical**: Options such as internal fixation with screws or plates, particularly if the fracture is severe or misaligned.
- Pain management with medications like NSAIDs.

#### Prognosis and Follow-Up
- Good prognosis with proper treatment; most individuals regain full function.
- Follow-up includes regular check-ups to ensure proper healing and may involve physical therapy to restore mobility and strength.

#### Complications
- If untreated, may lead to decreased wrist mobility, persistent pain, or development of arthritis.
- Misalignment during healing can result in chronic issues or deformity.

#### Lifestyle & Prevention
- Incorporate weight-bearing exercises to strengthen bones.
- Ensure proper calcium and vitamin D intake to support bone health.
- Use protective gear during high-risk activities.

#### When to Seek Professional Help
- Severe pain and swelling in the wrist, inability to move the wrist, or signs of deformity necessitate immediate medical attention.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS): [orthoinfo.org](https://www.orthoinfo.org)
- National Osteoporosis Foundation: [nof.org](https://www.nof.org)

#### Tips for Medical Coders
- Ensure the fracture is coded as the initial encounter and closed fracture (S52.571A).
- Verify laterality and location (right radius, intraarticular) are accurately captured.
- Be vigilant about updates to ICD coding guidelines that may affect fracture coding.

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