Multiple closed fractures involving both upper limbs, and upper limb with rib(s) and sternum

This code signifies a severe traumatic injury characterized by multiple closed fractures affecting both upper extremities. It also encompasses scenarios where multiple closed fractures involve one upper limb in conjunction with fractures of the ribs and/or sternum. This indicates significant blunt force trauma impacting multiple anatomical regions.

Assign this code for patients presenting with documented closed fractures in both arms (e.g., bilateral humerus fractures, bilateral radius/ulna fractures). It is also appropriate when a patient has a closed fracture of one upper limb (e.g., a fractured humerus) along with one or more fractured ribs and/or a fractured sternum. Documentation should clearly specify the closed nature of all fractures and the involvement of the specified anatomical sites.

• Ensure all fractures are explicitly documented as "closed" to use this code. Open fractures would require different coding.
• This code is for multiple fractures; a single fracture in each upper limb qualifies, as does multiple fractures within one limb combined with the other specified injuries.
• Do not use this code if the fractures are limited to a single upper limb without involvement of ribs/sternum, or if only ribs/sternum are fractured without upper limb involvement.