S53.43 ICD-10-CM Code: Radial collateral ligament sprain
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S53.43 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
Conditions not covered by this code, but which may be reported alongside it when both are present.
- traumatic rupture of radial collateral ligament (S53.2-) Compare S53.43 vs S53.2 →
- traumatic rupture of ulnar collateral ligament (S53.3-) Compare S53.43 vs S53.3 →
- strain of muscle, fascia and tendon at forearm level (S56.-) Compare S53.43 vs S56 →
- burns and corrosions (T20-T32) Compare S53.43 vs T20 →
- frostbite (T33-T34) Compare S53.43 vs T33 →
- injuries of wrist and hand (S60-S69) Compare S53.43 vs S60 →
- insect bite or sting, venomous (T63.4) Compare S53.43 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S53.431A, S53.431D, S53.431S, S53.432A, S53.432D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S53" Options: S53.431A, S53.431D, S53.431S, S53.432A, S53.432D, S53.432S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S53.43 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Referenced by Excludes1 notes
- S53.2 — Traumatic rupture of radial collateral ligament [Excludes1]: “sprain of radial collateral ligament NOS (S53.43-)” · check together
Referenced by Excludes2 notes
- S56 — Injury of muscle, fascia and tendon at forearm level [Excludes2](via S53.4.-): “sprain of joints and ligaments of elbow (S53.4-)” · check together
Nearest codes (40)
- S53 — Dislocation and sprain of joints and ligaments of elbow [Sibling]
- S53.412A — Radiohumeral (joint) sprain of left elbow, initial encounter [Sibling]
- S53.412D — Radiohumeral (joint) sprain of left elbow, subsequent encounter [Sibling]
- S53.412S — Radiohumeral (joint) sprain of left elbow, sequela [Sibling]
- S53.419 — Radiohumeral (joint) sprain of unspecified elbow [Sibling]
- S53.419A — Radiohumeral (joint) sprain of unspecified elbow, initial encounter [Sibling]
- S53.419D — Radiohumeral (joint) sprain of unspecified elbow, subsequent encounter [Sibling]
- S53.419S — Radiohumeral (joint) sprain of unspecified elbow, sequela [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S53.43 or its code family.
1 Excludes1 notes: S53.2.
1 Excludes2 notes: S56 (via S53.4.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S53.43 be billed directly?
No. S53.43 (Radial collateral ligament sprain) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S53.43 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S53.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S53.43 in its code family, with their registry titles.
- S53.422S — Ulnohumeral (joint) sprain of left elbow, sequela
- S53.429 — Ulnohumeral (joint) sprain of unspecified elbow
- S53.429A — Ulnohumeral (joint) sprain of unspecified elbow, initial encounter
- S53.429D — Ulnohumeral (joint) sprain of unspecified elbow, subsequent encounter
- S53.429S — Ulnohumeral (joint) sprain of unspecified elbow, sequela
- S53.431 — Radial collateral ligament sprain of right elbow
- S53.431A — Radial collateral ligament sprain of right elbow, initial encounter
- S53.431D — Radial collateral ligament sprain of right elbow, subsequent encounter
- S53.431S — Radial collateral ligament sprain of right elbow, sequela
- S53.432 — Radial collateral ligament sprain of left elbow