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S53.402S vs S53.409S

S53.402S (Unspecified sprain of left elbow, sequela) compared with S53.409S (Unspecified sprain of unspecified elbow, sequela), from the official CMS tabular data. S53.402S and S53.409S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S53.402S
Left
Unspecified sprain of left elbow, sequela
S53.409S
Unspecified
Unspecified sprain of unspecified elbow, sequela

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. S53.402S and S53.409S 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

S53.402SUnspecified sprain of left elbow, sequelaS53.409SUnspecified sprain of unspecified elbow, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionUnspecified sprain of left elbow, sequela is a billable ICD-10-CM diagnosis code (S53.402S).Unspecified sprain of unspecified elbow, sequela is a billable ICD-10-CM diagnosis code (S53.409S).
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