2026 ICD-10-CM Diagnosis Code S53.196DOther dislocation of unspecified ulnohumeral joint, subsequent encounter

ICD-10-CM Codes›S00–T88›S50-S59›S53

ICD-10-CM S53.196D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S53.196D is a billable ICD-10-CM diagnosis code for other dislocation of unspecified ulnohumeral joint, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as closed traumatic dislocation elbow joint, divergent. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Dislocations, subsequent encounter.

Code Identity

ICD-10-CM Code
S53.196D
Billable Status
Yes — Valid for Submission
Code Describes
Other dislocation of unspecified ulnohumeral joint, subsequent encounter
Short Description
Other dislocation of unsp ulnohumeral joint, subs encntr
Parent Code
S53.196
Other dislocation of unspecified ulnohumeral joint

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS50-S59Injuries to the elbow and forearm
CategoryS53Dislocation and sprain of joints and ligaments of elbow
This CodeS53.196DOther dislocation of unspecified ulnohumeral joint, subsequent encounter

Present on Admission (POA)Billing

S53.196D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

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

Coding GuidelinesGuidance

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 applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ044
Dislocations, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S53.196D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S53.196DOverview

Is S53.196D (Other dislocation of unspecified ulnohumeral joint) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other dislocation of unspecified ulnohumeral joint, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S53.196D mean?

The final character D marks a subsequent encounter: use it for routine care while the other dislocation of unspecified ulnohumeral joint is healing, after active treatment has ended.

What MS-DRG does S53.196D group to?

When other dislocation of unspecified ulnohumeral joint, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S53.196D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other dislocation of unspecified ulnohumeral joint, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S53.196D?

Under the General Equivalence Mappings, other dislocation of unspecified ulnohumeral joint, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.