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S53.4

Non-billable

Sprain of elbow

Sprain of elbow

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

S50-S59

Parent Code

S53

Child Codes

6

Coding Notes

Includes

Conditions included under this code

  • avulsion of joint or ligament of elbow
  • laceration of cartilage, joint or ligament of elbow
  • sprain of cartilage, joint or ligament of elbow
  • traumatic hemarthrosis of joint or ligament of elbow
  • traumatic rupture of joint or ligament of elbow
  • traumatic subluxation of joint or ligament of elbow
  • traumatic tear of joint or ligament of elbow

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

Excludes 2

Conditions not included here, but the patient may have both

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of wrist and hand (S60-S69)
  • insect bite or sting, venomous (T63.4)
  • strain of muscle, fascia and tendon at forearm level (S56.-)
  • traumatic rupture of radial collateral ligament (S53.2-)
  • traumatic rupture of ulnar collateral ligament (S53.3-)

Use Additional Code

Additional codes that should follow this code

  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be required; sequencing depends on circumstances

  • any associated open wound

Child Codes (6)

S53.40

Unspecified sprain of elbow

S53.41

Radiohumeral (joint) sprain

S53.42

Ulnohumeral (joint) sprain

S53.43

Radial collateral ligament sprain

S53.44

Ulnar collateral ligament sprain

S53.49

Other sprain of elbow

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code S53.4?

ICD-10-CM code S53.4 represents "Sprain of elbow". It is a non-billable header code — use a more specific child code for billing purposes.

Is S53.4 a billable code?

No, S53.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 6 child codes under S53.4.

What chapter is S53.4 in?

S53.4 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S53.4?

S53.4 has Excludes1 notes indicating codes that cannot be used together with it, including: birth trauma (P10-P15); obstetric trauma (O70-O71).

What are the subcategories under S53.4?

S53.4 has 6 child codes, including: S53.40 (Unspecified sprain of elbow), S53.41 (Radiohumeral (joint) sprain), S53.42 (Ulnohumeral (joint) sprain), S53.43 (Radial collateral ligament sprain), and 2 more.

Are additional codes required with S53.4?

Yes, when using S53.4 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S53.4?

S53.4 is linked to 1 UMLS Concept Unique Identifier: C0435024. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.