S59
S59 — Other and unspecified injuries of elbow and forearm
Non-billable headerICD-10-CM
S59 is a non-billable header ICD-10-CM code for other and unspecified injuries of elbow and forearm. 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 subcategories S59.0, S59.1, and S59.2
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- 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.
- other and unspecified injuries of wrist and hand (S69.-)
Risk adjustment
S59 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.
Code to one of these instead S59
5 child codes. Green means billable.
Questions about S59
- Is S59 a billable ICD-10-CM code?
- No. S59 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S59 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).