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ICD-10-CM 2027 diagnosis code

S53.033DNursemaid's elbow, unspecified elbow, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

S53.033D is a valid, billable ICD-10-CM code for nursemaid's elbow, unspecified elbow, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S53.033D

S53.033D is the ICD-10-CM diagnosis code for Nursemaid's elbow, unspecified elbow, subsequent encounter. It belongs to category S53 (dislocation and sprain of joints and ligaments of elbow), block S50-S59 (injuries to the elbow and forearm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.89 (other specified aftercare).

7th character

Dsubsequent encounter

Other encounter types for S53.033:

Notes that apply from higher levels

Instructions written at a parent level also apply to S53.033D.

› From S53.0 Subluxation and dislocation of radial head
Excludes1
  • Monteggia's fracture-dislocation (S52.27-)
› From S53 Dislocation and sprain of joints and ligaments of elbow
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
  • 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
  • strain of muscle, fascia and tendon at forearm level (S56.-)
Code also
  • any associated open wound

Broader instructions also apply from S50-S59 Injuries to the elbow and forearm and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.89Other specified aftercareapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S53.033D

Is S53.033D billable?

Yes. S53.033D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S53.033D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S53.033D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S53.033D as a principal diagnosis.

Is S53.033D a CC or MCC?

No. S53.033D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S53.033D group to?

S53.033D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S53.033D?

The CMS General Equivalence Mappings map S53.033D to ICD-9-CM V58.89.