S53.411A (Radiohumeral (joint) sprain of right elbow, initial encounter) compared with S53.419A (Radiohumeral (joint) sprain of unspecified elbow, initial encounter), from the official CMS tabular data. S53.411A and S53.419A code the same condition on opposite sides.
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)
Same condition, opposite side. S53.411A and S53.419A 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.
| S53.411ARadiohumeral (joint) sprain of right elbow, initial encounter | S53.419ARadiohumeral (joint) sprain of unspecified elbow, initial encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | S00-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) |
| Definition | Radiohumeral (joint) sprain of right elbow, initial encounter is a billable ICD-10-CM diagnosis code (S53.411A). | Radiohumeral (joint) sprain of unspecified elbow, initial encounter is a billable ICD-10-CM diagnosis code (S53.419A). |
| 7th character | The appropriate 7th character is to be added to each code from category S53 | The 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