S53.116A — Anterior dislocation of unspecified ulnohumeral joint, initial encounter
Is S53.116A billable?
Yes, but S53.116A is an unspecified code. S53.116A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S53.116A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S53.116A — the more specific alternatives are listed below.
More specific alternatives
S53.116A at a glance
| Code | S53.116A |
|---|---|
| Description | Anterior dislocation of unspecified ulnohumeral joint, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S53.116A?
In S53.116A, the 7th character A means initial encounter. The 7th character is required for S53.116A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S53.116A group to?
S53.116A sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
How is S53.116A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S53.11, the nearest indexed parent of S53.116A. Use them to find the family, then select the specific code.
- Subluxation › elbow › anterior
- Dislocation › elbow › traumatic › anterior (articular)
Excludes1 — never code together — inherited from S53.1
The conditions below can never be reported together with S53.116A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- dislocation of radial head alone (S53.0-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S53.116A to fully describe the condition. S53.116A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S53.116A, but a patient may have both at the same time. When documentation supports it, S53.116A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S50-S59
The conditions below are not part of S53.116A, but a patient may have both at the same time. When documentation supports it, S53.116A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S53
The conditions below are not part of S53.116A, but a patient may have both at the same time. When documentation supports it, S53.116A and the excluded code may both be reported.
- strain of muscle, fascia and tendon at forearm level (S56.-)
Code also — inherited from S53
Two codes may be needed to describe the condition fully. Whether S53.116A is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S53.116A existed?
S53.116A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.