ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S57

Non-Billable Header

Crushing injury of elbow and forearm

S57
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM S57

ICD-10-CM code S57 represents Crushing injury of elbow and forearm. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S57). The 2026 edition of ICD-10-CM S57 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S57

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Type 2 Excludes

Not included here, the excluded code is not part of S57, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • crushing injury of wrist and hand (S67.-)

Use Additional Code

When coding S57, also report these additional codes when applicable.

  • code(s) for all associated injuries

Coding Notes

Seven Chr Note

  • The appropriate 7th character is to be added to each code from category S57

Medicare LCD Coverage for S57

Local Coverage Determinations (LCDs) from CMS MACs that list S57 as a covered diagnosis.

No Medicare LCDs reference S57 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S57.

No commercial payer policies reference S57 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but S57 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with S57

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for S57

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 S57, Billing FAQ

Is ICD-10 code S57 billable? +

No, S57 is a non-billable header code. Use a more specific child code from block S57 when submitting claims.

What codes are Type 2 Excludes for S57? +

Type 2 Excludes (may be coded together when both conditions exist): crushing injury of wrist and hand (S67.-)

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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