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S53.011 vs S53.012

S53.011 (Anterior subluxation of right radial head) compared with S53.012 (Anterior subluxation of left radial head), from the official CMS tabular data. S53.011 and S53.012 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S53.011
Right
Anterior subluxation of right radial head
S53.012
Left
Anterior subluxation of left radial head

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S53.011 and S53.012 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S53.011Anterior subluxation of right radial headS53.012Anterior subluxation of left radial head
Billing statusNon-billable header

Report instead: S53.011A, S53.011D, S53.011S

Non-billable header

Report instead: S53.012A, S53.012D, S53.012S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionAnterior subluxation of right radial head is a non-billable ICD-10-CM category code (S53.011).Anterior subluxation of left radial head is a non-billable ICD-10-CM category code (S53.012).
7th characterThe appropriate 7th character is to be added to each code from category S53The appropriate 7th character is to be added to each code from category S53
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
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources