Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesInjuries to the elbow and forearmICD-10-CM s53-dislocation-and-sprain-elbow
    Ask Trek AI about this page

    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Elbow: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S53 includes dislocations and sprains of the elbow joint and associated ligaments, covering traumatic joint displacement, ligament tears, and related acute injuries. These ICD-10-CM diagnosis codes are used to document clinical encounters for elbow trauma, capturing specifics such as type of injury, laterality, and encounter type to reflect clinical complexity. Accurate coding within the ICD-10-CM S53 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Elbow: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM S53: Dislocation And Sprain Of Joints And Ligaments Of Elbow Overview

    The ICD-10-CM S53 group represents diagnoses for dislocations and sprains affecting the elbow joint and its supporting ligaments. These codes target traumatic injuries to the elbow and forearm musculoskeletal structures and distinguish between types of trauma, laterality, and encounter status. Accurate coding is important to reflect clinical severity and to support appropriate claims processing and reimbursement.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when documentation confirms an acute dislocation or sprain of the elbow or its ligaments, with specification of side and encounter status when available. Select the most specific subcode that reflects the type of injury, laterality, and whether the encounter is initial, subsequent, or for sequela.

    ICD-10-CM Codes

    261 rows

    ICD-10-CM CodeDescription
    S53.001AUnspecified subluxation of right radial head, initial encounter
    S53.001DUnspecified subluxation of right radial head, subsequent encounter
    S53.001SUnspecified subluxation of right radial head, sequela
    S53.002AUnspecified subluxation of left radial head, initial encounter
    S53.002DUnspecified subluxation of left radial head, subsequent encounter
    S53.002SUnspecified subluxation of left radial head, sequela
    S53.003AUnspecified subluxation of unspecified radial head, initial encounter
    S53.003DUnspecified subluxation of unspecified radial head, subsequent encounter
    S53.003SUnspecified subluxation of unspecified radial head, sequela
    S53.004AUnspecified dislocation of right radial head, initial encounter
    S53.004DUnspecified dislocation of right radial head, subsequent encounter
    S53.004SUnspecified dislocation of right radial head, sequela
    S53.005AUnspecified dislocation of left radial head, initial encounter
    S53.005DUnspecified dislocation of left radial head, subsequent encounter
    S53.005SUnspecified dislocation of left radial head, sequela
    S53.006AUnspecified dislocation of unspecified radial head, initial encounter
    S53.006DUnspecified dislocation of unspecified radial head, subsequent encounter
    S53.006SUnspecified dislocation of unspecified radial head, sequela
    S53.011AAnterior subluxation of right radial head, initial encounter
    S53.011DAnterior subluxation of right radial head, subsequent encounter

    Showing 1–20 of 261

    • More pages

    DRG Codes

    7 rows

    DRG CodeDescription
    562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC
    563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • A teenage athlete presents to the emergency department immediately after falling onto an outstretched hand during a soccer game with severe elbow pain, visible deformity, and inability to move the joint. Radiographs confirm an acute dislocation of the elbow without open wound; care is for initial emergency reduction and immobilization. A code from this group is assigned to capture the acute traumatic elbow dislocation encounter. Typical codes: S53.001A, S53.011A
    • An adult patient seen in orthopedics several weeks after a work-related elbow injury reports persistent instability and limited range of motion despite prior closed reduction; the visit documents follow-up evaluation and ongoing management of the elbow sprain/dislocation. This outpatient encounter is for continued care during the healing phase and monitoring of recovery, so a subsequent or sequela code from the group is selected to reflect post-initial treatment status. Typical codes: S53.001D, S53.011D
    • An elderly patient with osteoporosis arrives after a ground-level fall and is found to have a complicated elbow injury with neurovascular compromise and associated soft tissue damage requiring operative management; the encounter focuses on the complication and surgical treatment planning. A code from the group that denotes a complicated or sequela presentation is assigned to describe the dislocation with associated treatment needs. Typical codes: S53.001S, S53.011S

    Related Codes

    S50-SUPERFICIAL-INJURY-OF-ELBOW-AND-FOREARM

    ICD-10-CM Code For Superficial Injury Of Elbow And Forearm: Group Overview

    S51-OPEN-WOUND-OF-ELBOW-AND-FOREARM

    ICD-10-CM Code For Open Wound Of Elbow And Forearm: Group Overview

    S52-FRACTURE-OF-FOREARM

    ICD-10-CM Code For Fracture Of Forearm: Group Overview

    S54-INJURY-OF-FOREARM-NERVES

    ICD-10-CM Code For Injury Of Nerves At Forearm Level: Group Overview

    S55-INJURY-OF-BLOOD-VESSELS-FOREARM

    ICD-10-CM Code For Injury Of Blood Vessels At Forearm Level: Group Overview

    S56-INJURY-OF-FOREARM-SOFT-TISSUES

    ICD-10-CM Code For Injury Of Muscle, Fascia And Tendon At Forearm Level: Group Overview

    S57-CRUSHING-INJURY-ELBOW-FOREARM

    ICD-10-CM Code For Crushing Injury Of Elbow And Forearm: Group Overview

    S58-TRAUMATIC-AMPUTATION-OF-ELBOW-AND-FOREARM

    ICD-10-CM Code For Traumatic Amputation Of Elbow And Forearm: Group Overview

    S59-OTHER-AND-UNSPECIFIED-INJURIES-ELBOW-FOREARM

    ICD-10-CM Code For Other And Unspecified Injuries Of Elbow And Forearm: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.