S53.4

S53.4: Sprain of elbow

Non-billable headerICD-10-CM

S53.4 is a non-billable header ICD-10-CM code for sprain of elbow. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category S53

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

traumatic rupture of radial collateral ligament (S53.2-)
traumatic rupture of ulnar collateral ligament (S53.3-)

Excludes2 inherited from the categories above S53.4

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.-)

Other codes that can never be billed with S53.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

S53.2Traumatic rupture of radial collateral ligament
S53.3Traumatic rupture of ulnar collateral ligament

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S53.4

6 child codes. Green means billable.