Is ICD-10-CM code S57 billable?

No, S57 (Crushing injury of elbow and forearm) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code S57 belong to?

S57 belongs to Chapter 19 of the ICD-10-CM tabular list: S00–T88 (Injury, Poisoning and Certain Other Consequences of External Causes).

S57Not billable, use a more specific code below

Crushing injury of elbow and forearm

In Injuries to the elbow and forearm (S50-S59), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

18 billable codes under S57: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes2: not included here, code separately if applicable

crushing injury of wrist and hand (S67.-)

Use additional code: add a second code for this, listed after this one

code(s) for all associated injuries

Also applies, from Injuries to the elbow and forearm (S50-S59)

These notes sit on S50-S59 and apply to every code under it, including S57.

Excludes2: not included here, code separately if applicable

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of wrist and hand (S60-S69)
insect bite or sting, venomous (T63.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

Application of 7th Characters in Chapter 19 (page 77)
Coding of Injuries (page 78)
Coding of Traumatic Fractures (page 79)
Coding of Burns and Corrosions (page 80)
Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
Adult and child abuse, neglect and other maltreatment (page 85)
Complications of care (page 85)

Read Section I.C.19 (page 77)

All codes under S57

S57 can't be used on a claim. Pick a billable code below; grey headings group them.

S57 MS-DRGs

As the principal diagnosis, the billable codes under S57 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (6 of 18 codes)
DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (6 of 18 codes)
DRG 913 Traumatic Injury with MCC (6 of 18 codes)
DRG 914 Traumatic Injury without MCC (6 of 18 codes)
DRG 949 Aftercare with CC/MCC (6 of 18 codes)
DRG 950 Aftercare without CC/MCC (6 of 18 codes)
DRG 963 Other Multiple Significant Trauma with MCC (6 of 18 codes)
DRG 964 Other Multiple Significant Trauma with CC (6 of 18 codes)
DRG 965 Other Multiple Significant Trauma without CC/MCC (6 of 18 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Elbow Injuries and Disorders

Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. When any of these structures is hurt or diseased, you have elbow problems.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.