2022 ICD-10-CM Code S53.449A
Ulnar collateral ligament sprain of unspecified elbow, initial encounter
Code Classification
S53.449A is a billable diagnosis code used to specify a medical diagnosis of ulnar collateral ligament sprain of unspecified elbow, initial encounter. The code S53.449A is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S53.449A might also be used to specify conditions or terms like complete tear ulnar collateral ligament, complete tear, elbow joint, complete tear, elbow joint, medial collateral ligament, rupture of elbow ligament, sprain of ligament of elbow , sprain, elbow joint, medial collateral ligament, etc.
S53.449A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like ulnar collateral ligament sprain of unspecified elbow. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S53.449A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Complete tear ulnar collateral ligament
- Complete tear, elbow joint
- Complete tear, elbow joint, medial collateral ligament
- Rupture of elbow ligament
- Sprain of ligament of elbow
- Sprain, elbow joint, medial collateral ligament
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S53.449A is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 08 | 1.408 |
563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 08 | 0.8708 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S53.449A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S53.449A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 841.1 - Sprain ulnar collat lig (Approximate Flag)
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 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]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
S53 | Dislocation and sprain of joints and ligaments of elbow | NON-BILLABLE CODE |
S53.0 | Subluxation and dislocation of radial head | NON-BILLABLE CODE |
S53.00 | Unspecified subluxation and dislocation of radial head | NON-BILLABLE CODE |
S53.001 | Unspecified subluxation of right radial head | NON-BILLABLE CODE |
S53.001A | Unspecified subluxation of right radial head, initial encounter | BILLABLE CODE |
S53.001D | Unspecified subluxation of right radial head, subsequent encounter | BILLABLE CODE |
S53.001S | Unspecified subluxation of right radial head, sequela | BILLABLE CODE |
S53.002 | Unspecified subluxation of left radial head | NON-BILLABLE CODE |
S53.002A | Unspecified subluxation of left radial head, initial encounter | BILLABLE CODE |
S53.002D | Unspecified subluxation of left radial head, subsequent encounter | BILLABLE CODE |
S53.002S | Unspecified subluxation of left radial head, sequela | BILLABLE CODE |
S53.003 | Unspecified subluxation of unspecified radial head | NON-BILLABLE CODE |
S53.003A | Unspecified subluxation of unspecified radial head, initial encounter | BILLABLE CODE |
S53.003D | Unspecified subluxation of unspecified radial head, subsequent encounter | BILLABLE CODE |
S53.003S | Unspecified subluxation of unspecified radial head, sequela | BILLABLE CODE |
S53.004 | Unspecified dislocation of right radial head | NON-BILLABLE CODE |
S53.004A | Unspecified dislocation of right radial head, initial encounter | BILLABLE CODE |
S53.004D | Unspecified dislocation of right radial head, subsequent encounter | BILLABLE CODE |
S53.004S | Unspecified dislocation of right radial head, sequela | BILLABLE CODE |
S53.005 | Unspecified dislocation of left radial head | NON-BILLABLE CODE |
S53.005A | Unspecified dislocation of left radial head, initial encounter | BILLABLE CODE |
S53.005D | Unspecified dislocation of left radial head, subsequent encounter | BILLABLE CODE |
S53.005S | Unspecified dislocation of left radial head, sequela | BILLABLE CODE |
S53.006 | Unspecified dislocation of unspecified radial head | NON-BILLABLE CODE |
S53.006A | Unspecified dislocation of unspecified radial head, initial encounter | BILLABLE CODE |
S53.006D | Unspecified dislocation of unspecified radial head, subsequent encounter | BILLABLE CODE |
S53.006S | Unspecified dislocation of unspecified radial head, sequela | BILLABLE CODE |
S53.01 | Anterior subluxation and dislocation of radial head | NON-BILLABLE CODE |
S53.011 | Anterior subluxation of right radial head | NON-BILLABLE CODE |
S53.011A | Anterior subluxation of right radial head, initial encounter | BILLABLE CODE |
S53.011D | Anterior subluxation of right radial head, subsequent encounter | BILLABLE CODE |
S53.011S | Anterior subluxation of right radial head, sequela | BILLABLE CODE |
S53.012 | Anterior subluxation of left radial head | NON-BILLABLE CODE |
S53.012A | Anterior subluxation of left radial head, initial encounter | BILLABLE CODE |
S53.012D | Anterior subluxation of left radial head, subsequent encounter | BILLABLE CODE |
S53.012S | Anterior subluxation of left radial head, sequela | BILLABLE CODE |
S53.013 | Anterior subluxation of unspecified radial head | NON-BILLABLE CODE |
S53.013A | Anterior subluxation of unspecified radial head, initial encounter | BILLABLE CODE |
S53.013D | Anterior subluxation of unspecified radial head, subsequent encounter | BILLABLE CODE |
S53.013S | Anterior subluxation of unspecified radial head, sequela | BILLABLE CODE |
S53.014 | Anterior dislocation of right radial head | NON-BILLABLE CODE |
S53.014A | Anterior dislocation of right radial head, initial encounter | BILLABLE CODE |
S53.014D | Anterior dislocation of right radial head, subsequent encounter | BILLABLE CODE |
S53.014S | Anterior dislocation of right radial head, sequela | BILLABLE CODE |
S53.015 | Anterior dislocation of left radial head | NON-BILLABLE CODE |
S53.015A | Anterior dislocation of left radial head, initial encounter | BILLABLE CODE |
S53.015D | Anterior dislocation of left radial head, subsequent encounter | BILLABLE CODE |
S53.015S | Anterior dislocation of left radial head, sequela | BILLABLE CODE |
S53.016 | Anterior dislocation of unspecified radial head | NON-BILLABLE CODE |
S53.016A | Anterior dislocation of unspecified radial head, initial encounter | BILLABLE CODE |
S53.016D | Anterior dislocation of unspecified radial head, subsequent encounter | BILLABLE CODE |
Code History
- 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)