{"code":"S53.411","type":"category","title":"Radiohumeral (joint) sprain of right elbow","codeAlso":["any associated open wound"],"includes":["avulsion of joint or ligament of elbow","laceration of cartilage, joint or ligament of elbow","sprain of cartilage, joint or ligament of elbow","traumatic hemarthrosis of joint or ligament of elbow","traumatic rupture of joint or ligament of elbow","traumatic subluxation of joint or ligament of elbow","traumatic tear of joint or ligament of elbow"],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["traumatic rupture of radial collateral ligament (S53.2-)","traumatic rupture of ulnar collateral ligament (S53.3-)","strain of muscle, fascia and tendon at forearm level (S56.-)","burns and corrosions (T20-T32)","frostbite (T33-T34)","injuries of wrist and hand (S60-S69)","insect bite or sting, venomous (T63.4)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Radiohumeral (joint) sprain of right elbow is a non-billable ICD-10-CM category code (S53.411). A more specific billable subcode must be selected for claims submission.","officialDefinition":"Radiohumeral (joint) sprain of right elbow is a non-billable ICD-10-CM category code (S53.411). A more specific billable subcode must be selected for claims submission. Includes: avulsion of joint or ligament of elbow; laceration of cartilage, joint or ligament of elbow; sprain of cartilage, joint or ligament of elbow; traumatic hemarthrosis of joint or ligament of elbow; traumatic rupture of joint or ligament of elbow; traumatic subluxation of joint or ligament of elbow; traumatic tear of joint or ligament of elbow. Excludes2 (not included here): traumatic rupture of radial collateral ligament (S53.2-); traumatic rupture of ulnar collateral ligament (S53.3-); strain of muscle, fascia and tendon at forearm level (S56.-); burns and corrosions (T20-T32); frostbite (T33-T34); injuries of wrist and hand (S60-S69); insect bite or sting, venomous (T63.4). Code also: any associated open wound. 7th character: The appropriate 7th character is to be added to each code from category S53.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S53"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}