Coding and coverage · ICD-10-CM

S53 › S53.4 › S53.42

S53.429 Ulnohumeral (joint) sprain of unspecified elbow

Not billable (header)Chapter 19

This code needs a 7th character (use X as a placeholder for missing characters).

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7th character codes

  • S53.429A Ulnohumeral (joint) sprain of unspecified elbow, initial encounter
  • S53.429D Ulnohumeral (joint) sprain of unspecified elbow, subsequent encounter
  • S53.429S Ulnohumeral (joint) sprain of unspecified elbow, sequela

Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
Notes
  • 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
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Section S50-S59

Excludes2Not included here: the patient may have both; report both when both are present.

S53

Excludes2Not included here: the patient may have both; report both when both are present.
  • strain of muscle, fascia and tendon at forearm level (S56.-)
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
7th charactersThe appropriate 7th character is to be added to each code from category S53
  • A initial encounter
  • D subsequent encounter
  • S sequela

S53.4

Excludes2Not included here: the patient may have both; report both when both are present.
  • traumatic rupture of radial collateral ligament (S53.2-)
  • traumatic rupture of ulnar collateral ligament (S53.3-)

Chapter 19: Injury, poisoning and certain other consequences of external causes · S50-S59 Injuries to the elbow and forearm (S50-S59)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.