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S53.411S vs S53.412S

S53.411S (Radiohumeral (joint) sprain of right elbow, sequela) compared with S53.412S (Radiohumeral (joint) sprain of left elbow, sequela), from the official CMS tabular data. S53.411S and S53.412S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S53.411S
Right
Radiohumeral (joint) sprain of right elbow, sequela
S53.412S
Left
Radiohumeral (joint) sprain of left 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. S53.411S and S53.412S 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

S53.411SRadiohumeral (joint) sprain of right elbow, sequelaS53.412SRadiohumeral (joint) sprain of left elbow, sequela
Billing statusBillableBillable
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)
DefinitionRadiohumeral (joint) sprain of right elbow, sequela is a billable ICD-10-CM diagnosis code (S53.411S).Radiohumeral (joint) sprain of left elbow, sequela is a billable ICD-10-CM diagnosis code (S53.412S).
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