S53.116S

S53.116S: Anterior dislocation of unspecified ulnohumeral joint, sequela

Billable / specific codeICD-10-CMPOA exempt

S53.116S is a billable, specific ICD-10-CM code for anterior dislocation of unspecified ulnohumeral joint, sequela. It is valid for submission on a claim.

Check S53.116S with the rest of the claim: free scrubber

7th character "S": sequela

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 S53.116S

A category’s note binds every code beneath it.

Written on S53.1: Subluxation and dislocation of ulnohumeral joint

dislocation of radial head alone (S53.0-)

Excludes2 inherited from the categories above S53.116S

Not part of this code, but both may be coded when both are present.

Written on S53: Dislocation and sprain of joints and ligaments of elbow

strain of muscle, fascia and tendon at forearm level (S56.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S53.116S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.