S53.031D
S53.031D: Nursemaid's elbow, right elbow, subsequent encounter
Billable / specific codeICD-10-CMPOA exemptright
S53.031D is a billable, specific ICD-10-CM code for nursemaid's elbow, right elbow, subsequent encounter. It is valid for submission on a claim.
Check S53.031D with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S53.031D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S53.031D
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S53.031D is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.