2026 ICD-10-CM Diagnosis Code S54.00XDInjury of ulnar nerve at forearm level, unspecified arm, subsequent encounter

ICD-10-CM Codes›S00–T88›S50-S59›S54

ICD-10-CM S54.00XD
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S54.00XD is a billable ICD-10-CM diagnosis code for injury of ulnar nerve at forearm level, unspecified arm, 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, subsequent encounter.

Code Identity

ICD-10-CM Code
S54.00XD
Billable Status
Yes — Valid for Submission
Code Describes
Injury of ulnar nerve at forearm level, unspecified arm, subsequent encounter
Short Description
Injury of ulnar nerve at forearm level, unsp arm, subs
Parent Code
S54.00
Injury of ulnar nerve at forearm level, unspecified arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS50-S59Injuries to the elbow and forearm
CategoryS54Injury of nerves at forearm level
This CodeS54.00XDInjury of ulnar nerve at forearm level, unspecified arm, subsequent encounter

Present on Admission (POA)Billing

S54.00XD 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 injury, ulnar nerve
  • Closed injury, ulnar nerve, dorsal sensory
  • Injury of branch of ulnar nerve
  • Injury of cutaneous sensory nerve of upper limb
  • Injury of nerve at forearm level
  • Injury of ulnar nerve
  • Injury of ulnar nerve at forearm level
  • Open injury, ulnar nerve
  • Open injury, ulnar nerve, palmar sensory

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of nerves at forearm level (S54). 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 INJ062
Injury to nerves, muscles and tendons, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Read the full article at MedlinePlus

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

Convert S54.00XD 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 S54.00XDOverview

Is S54.00XD (Injury of ulnar nerve at forearm level, unspecified arm) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report injury of ulnar nerve at forearm level, unspecified arm, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S54.00XD mean?

The final character D marks a subsequent encounter: use it for routine care while the injury of ulnar nerve at forearm level, unspecified arm is healing, after active treatment has ended.

What MS-DRG does S54.00XD group to?

When injury of ulnar nerve at forearm level, unspecified arm, 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 S54.00XD 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 injury of ulnar nerve at forearm level, unspecified arm, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S54.00XD?

Under the General Equivalence Mappings, injury of ulnar nerve at forearm level, unspecified arm, 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.