ICD-10 S59
Non-Billable HeaderOther and unspecified injuries of elbow and forearm
About ICD-10-CM S59
ICD-10-CM code S59 represents Other and unspecified injuries of elbow and forearm. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S59). The 2026 edition of ICD-10-CM S59 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 S59
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
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 S59, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- other and unspecified injuries of wrist and hand (S69.-)
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2
Medicare LCD Coverage for S59
Local Coverage Determinations (LCDs) from CMS MACs that list S59 as a covered diagnosis.
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 S59.
1 Aetna
CPT Codes Commonly Billed with S59
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To S59
Other codes in section S50-S59 (Injuries to the elbow and forearm).
ICD-10 S59, Billing FAQ
Is ICD-10 code S59 billable? +
No, S59 is a non-billable header code. Use a more specific child code from block S59 when submitting claims.
What codes are Type 2 Excludes for S59? +
Type 2 Excludes (may be coded together when both conditions exist): other and unspecified injuries of wrist and hand (S69.-)
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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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