ICD-10-CM Code S53.196S

Other dislocation of unspecified ulnohumeral joint, sequela

Version 2021 Billable Code POA Exempt

Valid for Submission

S53.196S is a billable code used to specify a medical diagnosis of other dislocation of unspecified ulnohumeral joint, sequela. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code S53.196S might also be used to specify conditions or terms like closed traumatic dislocation elbow joint, divergent or closed traumatic dislocation superior radioulnar joint or open traumatic dislocation elbow joint, divergent. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S53.196S
Short Description:Other dislocation of unspecified ulnohumeral joint, sequela
Long Description:Other dislocation of unspecified ulnohumeral joint, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Closed traumatic dislocation elbow joint, divergent
  • Closed traumatic dislocation superior radioulnar joint
  • Open traumatic dislocation elbow joint, divergent

Diagnostic Related Groups

The ICD-10 code S53.196S is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
  • 563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC

Present on Admission (POA)

S53.196S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S53.196S to ICD-9

  • 905.6 - Late effect dislocation (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the elbow and forearm (S50-S59)
      • Dislocation and sprain of joints and ligaments of elbow (S53)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Dislocations

Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.

A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.

  • Dislocated shoulder - aftercare (Medical Encyclopedia)
  • Dislocation (Medical Encyclopedia)
  • Kneecap dislocation (Medical Encyclopedia)
  • Kneecap dislocation - aftercare (Medical Encyclopedia)
  • Nursemaid's elbow (Medical Encyclopedia)

[Learn More]

Elbow Injuries and Disorders

Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.

Many things can make your elbow hurt. A common cause is tendinitis, an inflammation or injury to the tendons that attach muscle to bone. Tendinitis of the elbow is a sports injury, often from playing tennis or golf. You may also get tendinitis from overuse of the elbow.

Other causes of elbow pain include sprains, strains, fractures, dislocations, bursitis and arthritis. Treatment depends on the cause.

  • Elbow pain (Medical Encyclopedia)
  • Elbow replacement (Medical Encyclopedia)
  • Elbow sprain -- aftercare (Medical Encyclopedia)
  • Medial epicondylitis - golfer's elbow (Medical Encyclopedia)
  • Nursemaid's elbow (Medical Encyclopedia)
  • Tennis elbow (Medical Encyclopedia)
  • Tennis elbow surgery (Medical Encyclopedia)

[Learn More]