S53.004D
S53.004D — Unspecified dislocation of right radial head, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S53.004D is a billable, specific ICD-10-CM code for unspecified dislocation of right radial head, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
The appropriate 7th character is to be added to each code from category S53
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S53.004D does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S53.004D is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S53.004. If S53.004D is not quite right, the correct code is usually one of these.
Questions about S53.004D
- Is S53.004D a billable ICD-10-CM code?
- Yes. S53.004D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S53.004D sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).