ICD-10-CM Code S53.421D

Ulnohumeral (joint) sprain of right elbow, subsequent encounter

Version 2021 Billable Code POA Exempt

Valid for Submission

S53.421D is a billable code used to specify a medical diagnosis of ulnohumeral (joint) sprain of right elbow, subsequent encounter. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S53.421D
Short Description:Ulnohumeral (joint) sprain of right elbow, subs encntr
Long Description:Ulnohumeral (joint) sprain of right elbow, subsequent encounter

Diagnostic Related Groups

The ICD-10 code S53.421D 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.

  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Present on Admission (POA)

S53.421D 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 S53.421D to ICD-9

  • V58.89 - Other specfied aftercare (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


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]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

  • Ankle sprain - aftercare (Medical Encyclopedia)
  • Elbow sprain -- aftercare (Medical Encyclopedia)
  • Foot sprain - aftercare (Medical Encyclopedia)
  • Hamstring strain - aftercare (Medical Encyclopedia)
  • Hip flexor strain -- aftercare (Medical Encyclopedia)
  • Sprains (Medical Encyclopedia)
  • Strains (Medical Encyclopedia)
  • Tendon repair (Medical Encyclopedia)
  • Wrist sprain - aftercare (Medical Encyclopedia)

[Learn More]