ICD-10 · PDGM grouping
S53 Dislocation and sprain of joints and ligaments of elbow
All 261 codes in the S53 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
261
Can lead a claim
173
Cannot lead a claim
88
What CMS assigns to S53
173 of the 261 codes group to Musculoskeletal Rehabilitation; 88 are assigned no clinical group. None of the 261 is assigned a comorbidity subgroup. 173 of the 261 can lead a claim.
Every code in S53
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S53.0 Subluxation and dislocation of radial head | ||||
| S53.00 Unspecified subluxation and dislocation of radial head | ||||
| S53.001 Unspecified subluxation of right radial head | ||||
| S53.001A | Unspecified subluxation of right radial head, initial encounterCMS: Unspecified subluxation of right radial head, init encntr | Can lead a claim | E | None |
| S53.001D | Unspecified subluxation of right radial head, subsequent encounterCMS: Unspecified subluxation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.001S | Unspecified subluxation of right radial head, sequela | Can lead a claim | E | None |
| S53.002 Unspecified subluxation of left radial head | ||||
| S53.002A | Unspecified subluxation of left radial head, initial encounterCMS: Unspecified subluxation of left radial head, init encntr | Can lead a claim | E | None |
| S53.002D | Unspecified subluxation of left radial head, subsequent encounterCMS: Unspecified subluxation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.002S | Unspecified subluxation of left radial head, sequela | Can lead a claim | E | None |
| S53.003 Unspecified subluxation of unspecified radial head | ||||
| S53.003A | Unspecified subluxation of unspecified radial head, initial encounterCMS: Unsp subluxation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.003D | Unspecified subluxation of unspecified radial head, subsequent encounterCMS: Unsp subluxation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.003S | Unspecified subluxation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.004 Unspecified dislocation of right radial head | ||||
| S53.004A | Unspecified dislocation of right radial head, initial encounterCMS: Unspecified dislocation of right radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.004D | Unspecified dislocation of right radial head, subsequent encounterCMS: Unspecified dislocation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.004S | Unspecified dislocation of right radial head, sequela | Can lead a claim | E | None |
| S53.005 Unspecified dislocation of left radial head | ||||
| S53.005A | Unspecified dislocation of left radial head, initial encounterCMS: Unspecified dislocation of left radial head, init encntr | Can lead a claim | E | None |
| S53.005D | Unspecified dislocation of left radial head, subsequent encounterCMS: Unspecified dislocation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.005S | Unspecified dislocation of left radial head, sequela | Can lead a claim | E | None |
| S53.006 Unspecified dislocation of unspecified radial head | ||||
| S53.006A | Unspecified dislocation of unspecified radial head, initial encounterCMS: Unsp dislocation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.006D | Unspecified dislocation of unspecified radial head, subsequent encounterCMS: Unsp dislocation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.006S | Unspecified dislocation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.01 Anterior subluxation and dislocation of radial head | ||||
| S53.011 Anterior subluxation of right radial head | ||||
| S53.011A | Anterior subluxation of right radial head, initial encounter | Can lead a claim | E | None |
| S53.011D | Anterior subluxation of right radial head, subsequent encounterCMS: Anterior subluxation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.011S | Anterior subluxation of right radial head, sequela | Can lead a claim | E | None |
| S53.012 Anterior subluxation of left radial head | ||||
| S53.012A | Anterior subluxation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.012D | Anterior subluxation of left radial head, subsequent encounterCMS: Anterior subluxation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.012S | Anterior subluxation of left radial head, sequela | Can lead a claim | E | None |
| S53.013 Anterior subluxation of unspecified radial head | ||||
| S53.013A | Anterior subluxation of unspecified radial head, initial encounterCMS: Anterior subluxation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.013D | Anterior subluxation of unspecified radial head, subsequent encounterCMS: Anterior subluxation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.013S | Anterior subluxation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.014 Anterior dislocation of right radial head | ||||
| S53.014A | Anterior dislocation of right radial head, initial encounter | Can lead a claim | E | None |
| S53.014D | Anterior dislocation of right radial head, subsequent encounterCMS: Anterior dislocation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.014S | Anterior dislocation of right radial head, sequela | Can lead a claim | E | None |
| S53.015 Anterior dislocation of left radial head | ||||
| S53.015A | Anterior dislocation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.015D | Anterior dislocation of left radial head, subsequent encounterCMS: Anterior dislocation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.015S | Anterior dislocation of left radial head, sequela | Can lead a claim | E | None |
| S53.016 Anterior dislocation of unspecified radial head | ||||
| S53.016A | Anterior dislocation of unspecified radial head, initial encounterCMS: Anterior dislocation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.016D | Anterior dislocation of unspecified radial head, subsequent encounterCMS: Anterior dislocation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.016S | Anterior dislocation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.02 Posterior subluxation and dislocation of radial head | ||||
| S53.021 Posterior subluxation of right radial head | ||||
| S53.021A | Posterior subluxation of right radial head, initial encounterCMS: Posterior subluxation of right radial head, init encntr | Can lead a claim | E | None |
| S53.021D | Posterior subluxation of right radial head, subsequent encounterCMS: Posterior subluxation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.021S | Posterior subluxation of right radial head, sequela | Can lead a claim | E | None |
| S53.022 Posterior subluxation of left radial head | ||||
| S53.022A | Posterior subluxation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.022D | Posterior subluxation of left radial head, subsequent encounterCMS: Posterior subluxation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.022S | Posterior subluxation of left radial head, sequela | Can lead a claim | E | None |
| S53.023 Posterior subluxation of unspecified radial head | ||||
| S53.023A | Posterior subluxation of unspecified radial head, initial encounterCMS: Posterior subluxation of unsp radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.023D | Posterior subluxation of unspecified radial head, subsequent encounterCMS: Posterior subluxation of unsp radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.023S | Posterior subluxation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.024 Posterior dislocation of right radial head | ||||
| S53.024A | Posterior dislocation of right radial head, initial encounterCMS: Posterior dislocation of right radial head, init encntr | Can lead a claim | E | None |
| S53.024D | Posterior dislocation of right radial head, subsequent encounterCMS: Posterior dislocation of right radial head, subs encntr | Can lead a claim | E | None |
| S53.024S | Posterior dislocation of right radial head, sequela | Can lead a claim | E | None |
| S53.025 Posterior dislocation of left radial head | ||||
| S53.025A | Posterior dislocation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.025D | Posterior dislocation of left radial head, subsequent encounterCMS: Posterior dislocation of left radial head, subs encntr | Can lead a claim | E | None |
| S53.025S | Posterior dislocation of left radial head, sequela | Can lead a claim | E | None |
| S53.026 Posterior dislocation of unspecified radial head | ||||
| S53.026A | Posterior dislocation of unspecified radial head, initial encounterCMS: Posterior dislocation of unsp radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.026D | Posterior dislocation of unspecified radial head, subsequent encounterCMS: Posterior dislocation of unsp radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.026S | Posterior dislocation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.03 Nursemaid's elbow | ||||
| S53.031 Nursemaid's elbow, right elbow | ||||
| S53.031A | Nursemaid's elbow, right elbow, initial encounter | Can lead a claim | E | None |
| S53.031D | Nursemaid's elbow, right elbow, subsequent encounter | Can lead a claim | E | None |
| S53.031S | Nursemaid's elbow, right elbow, sequela | Can lead a claim | E | None |
| S53.032 Nursemaid's elbow, left elbow | ||||
| S53.032A | Nursemaid's elbow, left elbow, initial encounter | Can lead a claim | E | None |
| S53.032D | Nursemaid's elbow, left elbow, subsequent encounter | Can lead a claim | E | None |
| S53.032S | Nursemaid's elbow, left elbow, sequela | Can lead a claim | E | None |
| S53.033 Nursemaid's elbow, unspecified elbow | ||||
| S53.033A | Nursemaid's elbow, unspecified elbow, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.033D | Nursemaid's elbow, unspecified elbow, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.033S | Nursemaid's elbow, unspecified elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.09 Other subluxation and dislocation of radial head | ||||
| S53.091 Other subluxation of right radial head | ||||
| S53.091A | Other subluxation of right radial head, initial encounter | Can lead a claim | E | None |
| S53.091D | Other subluxation of right radial head, subsequent encounter | Can lead a claim | E | None |
| S53.091S | Other subluxation of right radial head, sequela | Can lead a claim | E | None |
| S53.092 Other subluxation of left radial head | ||||
| S53.092A | Other subluxation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.092D | Other subluxation of left radial head, subsequent encounter | Can lead a claim | E | None |
| S53.092S | Other subluxation of left radial head, sequela | Can lead a claim | E | None |
| S53.093 Other subluxation of unspecified radial head | ||||
| S53.093A | Other subluxation of unspecified radial head, initial encounterCMS: Other subluxation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.093D | Other subluxation of unspecified radial head, subsequent encounterCMS: Other subluxation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.093S | Other subluxation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.094 Other dislocation of right radial head | ||||
| S53.094A | Other dislocation of right radial head, initial encounter | Can lead a claim | E | None |
| S53.094D | Other dislocation of right radial head, subsequent encounter | Can lead a claim | E | None |
| S53.094S | Other dislocation of right radial head, sequela | Can lead a claim | E | None |
| S53.095 Other dislocation of left radial head | ||||
| S53.095A | Other dislocation of left radial head, initial encounter | Can lead a claim | E | None |
| S53.095D | Other dislocation of left radial head, subsequent encounter | Can lead a claim | E | None |
| S53.095S | Other dislocation of left radial head, sequela | Can lead a claim | E | None |
| S53.096 Other dislocation of unspecified radial head | ||||
| S53.096A | Other dislocation of unspecified radial head, initial encounterCMS: Other dislocation of unspecified radial head, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.096D | Other dislocation of unspecified radial head, subsequent encounterCMS: Other dislocation of unspecified radial head, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.096S | Other dislocation of unspecified radial head, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.1 Subluxation and dislocation of ulnohumeral joint | ||||
| S53.10 Unspecified subluxation and dislocation of ulnohumeral joint | ||||
| S53.101 Unspecified subluxation of right ulnohumeral joint | ||||
| S53.101A | Unspecified subluxation of right ulnohumeral joint, initial encounterCMS: Unsp subluxation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.101D | Unspecified subluxation of right ulnohumeral joint, subsequent encounterCMS: Unsp subluxation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.101S | Unspecified subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.102 Unspecified subluxation of left ulnohumeral joint | ||||
| S53.102A | Unspecified subluxation of left ulnohumeral joint, initial encounterCMS: Unsp subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.102D | Unspecified subluxation of left ulnohumeral joint, subsequent encounterCMS: Unsp subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.102S | Unspecified subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.103 Unspecified subluxation of unspecified ulnohumeral joint | ||||
| S53.103A | Unspecified subluxation of unspecified ulnohumeral joint, initial encounterCMS: Unsp subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.103D | Unspecified subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Unsp subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.103S | Unspecified subluxation of unspecified ulnohumeral joint, sequelaCMS: Unsp subluxation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.104 Unspecified dislocation of right ulnohumeral joint | ||||
| S53.104A | Unspecified dislocation of right ulnohumeral joint, initial encounterCMS: Unsp dislocation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.104D | Unspecified dislocation of right ulnohumeral joint, subsequent encounterCMS: Unsp dislocation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.104S | Unspecified dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.105 Unspecified dislocation of left ulnohumeral joint | ||||
| S53.105A | Unspecified dislocation of left ulnohumeral joint, initial encounterCMS: Unsp dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.105D | Unspecified dislocation of left ulnohumeral joint, subsequent encounterCMS: Unsp dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.105S | Unspecified dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.106 Unspecified dislocation of unspecified ulnohumeral joint | ||||
| S53.106A | Unspecified dislocation of unspecified ulnohumeral joint, initial encounterCMS: Unsp dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.106D | Unspecified dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Unsp dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.106S | Unspecified dislocation of unspecified ulnohumeral joint, sequelaCMS: Unsp dislocation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.11 Anterior subluxation and dislocation of ulnohumeral joint | ||||
| S53.111 Anterior subluxation of right ulnohumeral joint | ||||
| S53.111A | Anterior subluxation of right ulnohumeral joint, initial encounterCMS: Anterior subluxation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.111D | Anterior subluxation of right ulnohumeral joint, subsequent encounterCMS: Anterior subluxation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.111S | Anterior subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.112 Anterior subluxation of left ulnohumeral joint | ||||
| S53.112A | Anterior subluxation of left ulnohumeral joint, initial encounterCMS: Anterior subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.112D | Anterior subluxation of left ulnohumeral joint, subsequent encounterCMS: Anterior subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.112S | Anterior subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.113 Anterior subluxation of unspecified ulnohumeral joint | ||||
| S53.113A | Anterior subluxation of unspecified ulnohumeral joint, initial encounterCMS: Anterior subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.113D | Anterior subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Anterior subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.113S | Anterior subluxation of unspecified ulnohumeral joint, sequelaCMS: Anterior subluxation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.114 Anterior dislocation of right ulnohumeral joint | ||||
| S53.114A | Anterior dislocation of right ulnohumeral joint, initial encounterCMS: Anterior dislocation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.114D | Anterior dislocation of right ulnohumeral joint, subsequent encounterCMS: Anterior dislocation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.114S | Anterior dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.115 Anterior dislocation of left ulnohumeral joint | ||||
| S53.115A | Anterior dislocation of left ulnohumeral joint, initial encounterCMS: Anterior dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.115D | Anterior dislocation of left ulnohumeral joint, subsequent encounterCMS: Anterior dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.115S | Anterior dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.116 Anterior dislocation of unspecified ulnohumeral joint | ||||
| S53.116A | Anterior dislocation of unspecified ulnohumeral joint, initial encounterCMS: Anterior dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.116D | Anterior dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Anterior dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.116S | Anterior dislocation of unspecified ulnohumeral joint, sequelaCMS: Anterior dislocation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.12 Posterior subluxation and dislocation of ulnohumeral joint | ||||
| S53.121 Posterior subluxation of right ulnohumeral joint | ||||
| S53.121A | Posterior subluxation of right ulnohumeral joint, initial encounterCMS: Posterior subluxation of right ulnohumeral joint, init | Can lead a claim | E | None |
| S53.121D | Posterior subluxation of right ulnohumeral joint, subsequent encounterCMS: Posterior subluxation of right ulnohumeral joint, subs | Can lead a claim | E | None |
| S53.121S | Posterior subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.122 Posterior subluxation of left ulnohumeral joint | ||||
| S53.122A | Posterior subluxation of left ulnohumeral joint, initial encounterCMS: Posterior subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.122D | Posterior subluxation of left ulnohumeral joint, subsequent encounterCMS: Posterior subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.122S | Posterior subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.123 Posterior subluxation of unspecified ulnohumeral joint | ||||
| S53.123A | Posterior subluxation of unspecified ulnohumeral joint, initial encounterCMS: Posterior subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.123D | Posterior subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Posterior subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.123S | Posterior subluxation of unspecified ulnohumeral joint, sequelaCMS: Posterior subluxation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.124 Posterior dislocation of right ulnohumeral joint | ||||
| S53.124A | Posterior dislocation of right ulnohumeral joint, initial encounterCMS: Posterior dislocation of right ulnohumeral joint, init | Can lead a claim | E | None |
| S53.124D | Posterior dislocation of right ulnohumeral joint, subsequent encounterCMS: Posterior dislocation of right ulnohumeral joint, subs | Can lead a claim | E | None |
| S53.124S | Posterior dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.125 Posterior dislocation of left ulnohumeral joint | ||||
| S53.125A | Posterior dislocation of left ulnohumeral joint, initial encounterCMS: Posterior dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.125D | Posterior dislocation of left ulnohumeral joint, subsequent encounterCMS: Posterior dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.125S | Posterior dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.126 Posterior dislocation of unspecified ulnohumeral joint | ||||
| S53.126A | Posterior dislocation of unspecified ulnohumeral joint, initial encounterCMS: Posterior dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.126D | Posterior dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Posterior dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.126S | Posterior dislocation of unspecified ulnohumeral joint, sequelaCMS: Posterior dislocation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.13 Medial subluxation and dislocation of ulnohumeral joint | ||||
| S53.131 Medial subluxation of right ulnohumeral joint | ||||
| S53.131A | Medial subluxation of right ulnohumeral joint, initial encounterCMS: Medial subluxation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.131D | Medial subluxation of right ulnohumeral joint, subsequent encounterCMS: Medial subluxation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.131S | Medial subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.132 Medial subluxation of left ulnohumeral joint | ||||
| S53.132A | Medial subluxation of left ulnohumeral joint, initial encounterCMS: Medial subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.132D | Medial subluxation of left ulnohumeral joint, subsequent encounterCMS: Medial subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.132S | Medial subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.133 Medial subluxation of unspecified ulnohumeral joint | ||||
| S53.133A | Medial subluxation of unspecified ulnohumeral joint, initial encounterCMS: Medial subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.133D | Medial subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Medial subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.133S | Medial subluxation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.134 Medial dislocation of right ulnohumeral joint | ||||
| S53.134A | Medial dislocation of right ulnohumeral joint, initial encounterCMS: Medial dislocation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.134D | Medial dislocation of right ulnohumeral joint, subsequent encounterCMS: Medial dislocation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.134S | Medial dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.135 Medial dislocation of left ulnohumeral joint | ||||
| S53.135A | Medial dislocation of left ulnohumeral joint, initial encounterCMS: Medial dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.135D | Medial dislocation of left ulnohumeral joint, subsequent encounterCMS: Medial dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.135S | Medial dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.136 Medial dislocation of unspecified ulnohumeral joint | ||||
| S53.136A | Medial dislocation of unspecified ulnohumeral joint, initial encounterCMS: Medial dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.136D | Medial dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Medial dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.136S | Medial dislocation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.14 Lateral subluxation and dislocation of ulnohumeral joint | ||||
| S53.141 Lateral subluxation of right ulnohumeral joint | ||||
| S53.141A | Lateral subluxation of right ulnohumeral joint, initial encounterCMS: Lateral subluxation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.141D | Lateral subluxation of right ulnohumeral joint, subsequent encounterCMS: Lateral subluxation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.141S | Lateral subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.142 Lateral subluxation of left ulnohumeral joint | ||||
| S53.142A | Lateral subluxation of left ulnohumeral joint, initial encounterCMS: Lateral subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.142D | Lateral subluxation of left ulnohumeral joint, subsequent encounterCMS: Lateral subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.142S | Lateral subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.143 Lateral subluxation of unspecified ulnohumeral joint | ||||
| S53.143A | Lateral subluxation of unspecified ulnohumeral joint, initial encounterCMS: Lateral subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.143D | Lateral subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Lateral subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.143S | Lateral subluxation of unspecified ulnohumeral joint, sequelaCMS: Lateral subluxation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.144 Lateral dislocation of right ulnohumeral joint | ||||
| S53.144A | Lateral dislocation of right ulnohumeral joint, initial encounterCMS: Lateral dislocation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.144D | Lateral dislocation of right ulnohumeral joint, subsequent encounterCMS: Lateral dislocation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.144S | Lateral dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.145 Lateral dislocation of left ulnohumeral joint | ||||
| S53.145A | Lateral dislocation of left ulnohumeral joint, initial encounterCMS: Lateral dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.145D | Lateral dislocation of left ulnohumeral joint, subsequent encounterCMS: Lateral dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.145S | Lateral dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.146 Lateral dislocation of unspecified ulnohumeral joint | ||||
| S53.146A | Lateral dislocation of unspecified ulnohumeral joint, initial encounterCMS: Lateral dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.146D | Lateral dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Lateral dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.146S | Lateral dislocation of unspecified ulnohumeral joint, sequelaCMS: Lateral dislocation of unsp ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.19 Other subluxation and dislocation of ulnohumeral joint | ||||
| S53.191 Other subluxation of right ulnohumeral joint | ||||
| S53.191A | Other subluxation of right ulnohumeral joint, initial encounterCMS: Other subluxation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.191D | Other subluxation of right ulnohumeral joint, subsequent encounterCMS: Other subluxation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.191S | Other subluxation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.192 Other subluxation of left ulnohumeral joint | ||||
| S53.192A | Other subluxation of left ulnohumeral joint, initial encounterCMS: Other subluxation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.192D | Other subluxation of left ulnohumeral joint, subsequent encounterCMS: Other subluxation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.192S | Other subluxation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.193 Other subluxation of unspecified ulnohumeral joint | ||||
| S53.193A | Other subluxation of unspecified ulnohumeral joint, initial encounterCMS: Other subluxation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.193D | Other subluxation of unspecified ulnohumeral joint, subsequent encounterCMS: Other subluxation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.193S | Other subluxation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.194 Other dislocation of right ulnohumeral joint | ||||
| S53.194A | Other dislocation of right ulnohumeral joint, initial encounterCMS: Other dislocation of right ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.194D | Other dislocation of right ulnohumeral joint, subsequent encounterCMS: Other dislocation of right ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.194S | Other dislocation of right ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.195 Other dislocation of left ulnohumeral joint | ||||
| S53.195A | Other dislocation of left ulnohumeral joint, initial encounterCMS: Other dislocation of left ulnohumeral joint, init encntr | Can lead a claim | E | None |
| S53.195D | Other dislocation of left ulnohumeral joint, subsequent encounterCMS: Other dislocation of left ulnohumeral joint, subs encntr | Can lead a claim | E | None |
| S53.195S | Other dislocation of left ulnohumeral joint, sequela | Can lead a claim | E | None |
| S53.196 Other dislocation of unspecified ulnohumeral joint | ||||
| S53.196A | Other dislocation of unspecified ulnohumeral joint, initial encounterCMS: Other dislocation of unsp ulnohumeral joint, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.196D | Other dislocation of unspecified ulnohumeral joint, subsequent encounterCMS: Other dislocation of unsp ulnohumeral joint, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.196S | Other dislocation of unspecified ulnohumeral joint, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.2 Traumatic rupture of radial collateral ligament | ||||
| S53.20 Traumatic rupture of unspecified radial collateral ligament | ||||
| S53.20XA | Traumatic rupture of unspecified radial collateral ligament, initial encounterCMS: Traumatic rupture of unsp radial collateral ligament, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.20XD | Traumatic rupture of unspecified radial collateral ligament, subsequent encounterCMS: Traumatic rupture of unsp radial collateral ligament, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.20XS | Traumatic rupture of unspecified radial collateral ligament, sequelaCMS: Traumatic rupture of unsp radial collat ligament, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.21 Traumatic rupture of right radial collateral ligament | ||||
| S53.21XA | Traumatic rupture of right radial collateral ligament, initial encounterCMS: Traumatic rupture of right radial collateral ligament, init | Can lead a claim | E | None |
| S53.21XD | Traumatic rupture of right radial collateral ligament, subsequent encounterCMS: Traumatic rupture of right radial collateral ligament, subs | Can lead a claim | E | None |
| S53.21XS | Traumatic rupture of right radial collateral ligament, sequelaCMS: Traumatic rupture of right radial collat ligament, sequela | Can lead a claim | E | None |
| S53.22 Traumatic rupture of left radial collateral ligament | ||||
| S53.22XA | Traumatic rupture of left radial collateral ligament, initial encounterCMS: Traumatic rupture of left radial collateral ligament, init | Can lead a claim | E | None |
| S53.22XD | Traumatic rupture of left radial collateral ligament, subsequent encounterCMS: Traumatic rupture of left radial collateral ligament, subs | Can lead a claim | E | None |
| S53.22XS | Traumatic rupture of left radial collateral ligament, sequelaCMS: Traumatic rupture of left radial collat ligament, sequela | Can lead a claim | E | None |
| S53.3 Traumatic rupture of ulnar collateral ligament | ||||
| S53.30 Traumatic rupture of unspecified ulnar collateral ligament | ||||
| S53.30XA | Traumatic rupture of unspecified ulnar collateral ligament, initial encounterCMS: Traumatic rupture of unsp ulnar collateral ligament, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.30XD | Traumatic rupture of unspecified ulnar collateral ligament, subsequent encounterCMS: Traumatic rupture of unsp ulnar collateral ligament, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.30XS | Traumatic rupture of unspecified ulnar collateral ligament, sequelaCMS: Traumatic rupture of unsp ulnar collateral ligament, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.31 Traumatic rupture of right ulnar collateral ligament | ||||
| S53.31XA | Traumatic rupture of right ulnar collateral ligament, initial encounterCMS: Traumatic rupture of right ulnar collateral ligament, init | Can lead a claim | E | None |
| S53.31XD | Traumatic rupture of right ulnar collateral ligament, subsequent encounterCMS: Traumatic rupture of right ulnar collateral ligament, subs | Can lead a claim | E | None |
| S53.31XS | Traumatic rupture of right ulnar collateral ligament, sequelaCMS: Traumatic rupture of right ulnar collat ligament, sequela | Can lead a claim | E | None |
| S53.32 Traumatic rupture of left ulnar collateral ligament | ||||
| S53.32XA | Traumatic rupture of left ulnar collateral ligament, initial encounterCMS: Traumatic rupture of left ulnar collateral ligament, init | Can lead a claim | E | None |
| S53.32XD | Traumatic rupture of left ulnar collateral ligament, subsequent encounterCMS: Traumatic rupture of left ulnar collateral ligament, subs | Can lead a claim | E | None |
| S53.32XS | Traumatic rupture of left ulnar collateral ligament, sequela | Can lead a claim | E | None |
| S53.4 Sprain of elbow | ||||
| S53.40 Unspecified sprain of elbow | ||||
| S53.401 Unspecified sprain of right elbow | ||||
| S53.401A | Unspecified sprain of right elbow, initial encounter | Can lead a claim | E | None |
| S53.401D | Unspecified sprain of right elbow, subsequent encounter | Can lead a claim | E | None |
| S53.401S | Unspecified sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.402 Unspecified sprain of left elbow | ||||
| S53.402A | Unspecified sprain of left elbow, initial encounter | Can lead a claim | E | None |
| S53.402D | Unspecified sprain of left elbow, subsequent encounter | Can lead a claim | E | None |
| S53.402S | Unspecified sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.409 Unspecified sprain of unspecified elbow | ||||
| S53.409A | Unspecified sprain of unspecified elbow, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.409D | Unspecified sprain of unspecified elbow, subsequent encounterCMS: Unspecified sprain of unspecified elbow, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.409S | Unspecified sprain of unspecified elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.41 Radiohumeral (joint) sprain | ||||
| S53.411 Radiohumeral (joint) sprain of right elbow | ||||
| S53.411A | Radiohumeral (joint) sprain of right elbow, initial encounterCMS: Radiohumeral (joint) sprain of right elbow, init encntr | Can lead a claim | E | None |
| S53.411D | Radiohumeral (joint) sprain of right elbow, subsequent encounterCMS: Radiohumeral (joint) sprain of right elbow, subs encntr | Can lead a claim | E | None |
| S53.411S | Radiohumeral (joint) sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.412 Radiohumeral (joint) sprain of left elbow | ||||
| S53.412A | Radiohumeral (joint) sprain of left elbow, initial encounter | Can lead a claim | E | None |
| S53.412D | Radiohumeral (joint) sprain of left elbow, subsequent encounterCMS: Radiohumeral (joint) sprain of left elbow, subs encntr | Can lead a claim | E | None |
| S53.412S | Radiohumeral (joint) sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.419 Radiohumeral (joint) sprain of unspecified elbow | ||||
| S53.419A | Radiohumeral (joint) sprain of unspecified elbow, initial encounterCMS: Radiohumeral (joint) sprain of unsp elbow, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.419D | Radiohumeral (joint) sprain of unspecified elbow, subsequent encounterCMS: Radiohumeral (joint) sprain of unsp elbow, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.419S | Radiohumeral (joint) sprain of unspecified elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.42 Ulnohumeral (joint) sprain | ||||
| S53.421 Ulnohumeral (joint) sprain of right elbow | ||||
| S53.421A | Ulnohumeral (joint) sprain of right elbow, initial encounter | Can lead a claim | E | None |
| S53.421D | Ulnohumeral (joint) sprain of right elbow, subsequent encounterCMS: Ulnohumeral (joint) sprain of right elbow, subs encntr | Can lead a claim | E | None |
| S53.421S | Ulnohumeral (joint) sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.422 Ulnohumeral (joint) sprain of left elbow | ||||
| S53.422A | Ulnohumeral (joint) sprain of left elbow, initial encounter | Can lead a claim | E | None |
| S53.422D | Ulnohumeral (joint) sprain of left elbow, subsequent encounterCMS: Ulnohumeral (joint) sprain of left elbow, subs encntr | Can lead a claim | E | None |
| S53.422S | Ulnohumeral (joint) sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.429 Ulnohumeral (joint) sprain of unspecified elbow | ||||
| S53.429A | Ulnohumeral (joint) sprain of unspecified elbow, initial encounterCMS: Ulnohumeral (joint) sprain of unspecified elbow, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.429D | Ulnohumeral (joint) sprain of unspecified elbow, subsequent encounterCMS: Ulnohumeral (joint) sprain of unspecified elbow, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.429S | Ulnohumeral (joint) sprain of unspecified elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.43 Radial collateral ligament sprain | ||||
| S53.431 Radial collateral ligament sprain of right elbow | ||||
| S53.431A | Radial collateral ligament sprain of right elbow, initial encounterCMS: Radial collateral ligament sprain of right elbow, init | Can lead a claim | E | None |
| S53.431D | Radial collateral ligament sprain of right elbow, subsequent encounterCMS: Radial collateral ligament sprain of right elbow, subs | Can lead a claim | E | None |
| S53.431S | Radial collateral ligament sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.432 Radial collateral ligament sprain of left elbow | ||||
| S53.432A | Radial collateral ligament sprain of left elbow, initial encounterCMS: Radial collateral ligament sprain of left elbow, init encntr | Can lead a claim | E | None |
| S53.432D | Radial collateral ligament sprain of left elbow, subsequent encounterCMS: Radial collateral ligament sprain of left elbow, subs encntr | Can lead a claim | E | None |
| S53.432S | Radial collateral ligament sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.439 Radial collateral ligament sprain of unspecified elbow | ||||
| S53.439A | Radial collateral ligament sprain of unspecified elbow, initial encounterCMS: Radial collateral ligament sprain of unsp elbow, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.439D | Radial collateral ligament sprain of unspecified elbow, subsequent encounterCMS: Radial collateral ligament sprain of unsp elbow, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.439S | Radial collateral ligament sprain of unspecified elbow, sequelaCMS: Radial collateral ligament sprain of unsp elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.44 Ulnar collateral ligament sprain | ||||
| S53.441 Ulnar collateral ligament sprain of right elbow | ||||
| S53.441A | Ulnar collateral ligament sprain of right elbow, initial encounterCMS: Ulnar collateral ligament sprain of right elbow, init encntr | Can lead a claim | E | None |
| S53.441D | Ulnar collateral ligament sprain of right elbow, subsequent encounterCMS: Ulnar collateral ligament sprain of right elbow, subs encntr | Can lead a claim | E | None |
| S53.441S | Ulnar collateral ligament sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.442 Ulnar collateral ligament sprain of left elbow | ||||
| S53.442A | Ulnar collateral ligament sprain of left elbow, initial encounterCMS: Ulnar collateral ligament sprain of left elbow, init encntr | Can lead a claim | E | None |
| S53.442D | Ulnar collateral ligament sprain of left elbow, subsequent encounterCMS: Ulnar collateral ligament sprain of left elbow, subs encntr | Can lead a claim | E | None |
| S53.442S | Ulnar collateral ligament sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.449 Ulnar collateral ligament sprain of unspecified elbow | ||||
| S53.449A | Ulnar collateral ligament sprain of unspecified elbow, initial encounterCMS: Ulnar collateral ligament sprain of unsp elbow, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.449D | Ulnar collateral ligament sprain of unspecified elbow, subsequent encounterCMS: Ulnar collateral ligament sprain of unsp elbow, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.449S | Ulnar collateral ligament sprain of unspecified elbow, sequelaCMS: Ulnar collateral ligament sprain of unsp elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.49 Other sprain of elbow | ||||
| S53.491 Other sprain of right elbow | ||||
| S53.491A | Other sprain of right elbow, initial encounter | Can lead a claim | E | None |
| S53.491D | Other sprain of right elbow, subsequent encounter | Can lead a claim | E | None |
| S53.491S | Other sprain of right elbow, sequela | Can lead a claim | E | None |
| S53.492 Other sprain of left elbow | ||||
| S53.492A | Other sprain of left elbow, initial encounter | Can lead a claim | E | None |
| S53.492D | Other sprain of left elbow, subsequent encounter | Can lead a claim | E | None |
| S53.492S | Other sprain of left elbow, sequela | Can lead a claim | E | None |
| S53.499 Other sprain of unspecified elbow | ||||
| S53.499A | Other sprain of unspecified elbow, initial encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.499D | Other sprain of unspecified elbow, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S53.499S | Other sprain of unspecified elbow, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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