2020 ICD-10-CM Diagnosis Code S53.4

Sprain of elbow

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S53.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM S53.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S53.4 - other international versions of ICD-10 S53.4 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S53.4) and the excluded code together.
  • traumatic rupture of radial collateral ligament (
    ICD-10-CM Diagnosis Code S53.2

    Traumatic rupture of radial collateral ligament

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • sprain of radial collateral ligament NOS (S53.43-)
    S53.2-
    )
  • traumatic rupture of ulnar collateral ligament (
    ICD-10-CM Diagnosis Code S53.3

    Traumatic rupture of ulnar collateral ligament

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • sprain of ulnar collateral ligament (S53.44-)
    S53.3-
    )
The following code(s) above S53.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S53.4:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S50-S59
    2020 ICD-10-CM Range S50-S59

    Injuries to the elbow and forearm

    Type 2 Excludes
    Injuries to the elbow and forearm
  • S53
    ICD-10-CM Diagnosis Code S53

    Dislocation and sprain of joints and ligaments of elbow

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated open wound
    Includes
    • avulsion of joint or ligament of elbow
    • laceration of cartilage, joint or ligament of elbow
    • sprain of cartilage, joint or ligament of elbow
    • traumatic hemarthrosis of joint or ligament of elbow
    • traumatic rupture of joint or ligament of elbow
    • traumatic subluxation of joint or ligament of elbow
    • traumatic tear of joint or ligament of elbow
    Type 2 Excludes
    • strain of muscle, fascia and tendon at forearm level (S56.-)
    Dislocation and sprain of joints and ligaments of elbow
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S53.4:
  • Type 2 Excludes: S56
    ICD-10-CM Diagnosis Code S56

    Injury of muscle, fascia and tendon at forearm level

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated open wound (S51.-)
    Type 2 Excludes
    • injury of muscle, fascia and tendon at or below wrist (S66.-)
    • sprain of joints and ligaments of elbow (S53.4-)
ICD-10-CM Codes Adjacent To S53.4
S53.30XD …… subsequent encounter
S53.30XS …… sequela
S53.31 Traumatic rupture of right ulnar collateral ligament
S53.31XA …… initial encounter
S53.31XD …… subsequent encounter
S53.31XS …… sequela
S53.32 Traumatic rupture of left ulnar collateral ligament
S53.32XA …… initial encounter
S53.32XD …… subsequent encounter
S53.32XS …… sequela
S53.4 Sprain of elbow
S53.40 Unspecified sprain of elbow
S53.401 Unspecified sprain of right elbow
S53.401A …… initial encounter
S53.401D …… subsequent encounter
S53.401S …… sequela
S53.402 Unspecified sprain of left elbow
S53.402A …… initial encounter
S53.402D …… subsequent encounter
S53.402S …… sequela
S53.409 Unspecified sprain of unspecified elbow

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.