S53.421A
S53.421A: Ulnohumeral (joint) sprain of right elbow, initial encounter
Billable / specific codeICD-10-CMright
S53.421A is a billable, specific ICD-10-CM code for ulnohumeral (joint) sprain of right elbow, initial encounter. It is valid for submission on a claim.
Check S53.421A with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S53
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 inherited from the categories above S53.421A
Not part of this code, but both may be coded when both are present.
Written on S53.4: Sprain of elbow
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S53.421A 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.