S53.43 - Radial collateral ligament sprain
| ICD-10: | S53.43 |
| Short Description: | Radial collateral ligament sprain |
| Long Description: | Radial collateral ligament sprain |
| Status: | Not Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
S53.43 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of radial collateral ligament sprain. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of elbow (S53). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Radial collateral ligament sprain
Non-specific codes like S53.43 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for radial collateral ligament sprain:
- NON-BILLABLE CODE - S53.431 for Radial collateral ligament sprain of right elbow
- BILLABLE CODE - Use S53.431A for initial encounter
- BILLABLE CODE - Use S53.431D for subsequent encounter
- BILLABLE CODE - Use S53.431S for sequela
- NON-BILLABLE CODE - S53.432 for Radial collateral ligament sprain of left elbow
- BILLABLE CODE - Use S53.432A for initial encounter
- BILLABLE CODE - Use S53.432D for subsequent encounter
- BILLABLE CODE - Use S53.432S for sequela
- NON-BILLABLE CODE - S53.439 for Radial collateral ligament sprain of unspecified elbow
- BILLABLE CODE - Use S53.439A for initial encounter
- BILLABLE CODE - Use S53.439D for subsequent encounter
- BILLABLE CODE - Use S53.439S for sequela
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Sprain (joint) (ligament)
- - elbow - S53.40
- - radial collateral ligament - S53.43
- - elbow - S53.40
Patient Education
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 and strains, fractures (broken bones), dislocations, bursitis, and arthritis. Treatment depends on the cause.
[Learn More in MedlinePlus]
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
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)