ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS51.001

S51.001

Billable

Unspecified open wound of right elbow

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S51.001 is a billable code used to indicate a diagnosis of unspecified open wound of right elbow.

Key Diagnostic Point:

An unspecified open wound of the right elbow refers to a traumatic injury that results in a break in the skin and underlying tissues around the elbow joint. This type of injury can occur due to various mechanisms, including falls, sports injuries, or accidents. The elbow is a complex joint formed by the humerus, radius, and ulna, and injuries in this area can lead to complications such as fractures, dislocations, or damage to surrounding soft tissues. Open wounds can expose the underlying structures to infection and may require surgical intervention for proper healing. The management of an open wound of the elbow often involves cleaning the wound, assessing for fractures, and possibly performing orthopedic fixation procedures to stabilize any associated fractures of the radius or ulna. Compartment syndrome is a potential complication that can arise from swelling or bleeding within the muscle compartments of the forearm, necessitating urgent evaluation and intervention. Accurate coding of this condition requires careful documentation of the injury mechanism, associated injuries, and treatment provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of the wound type and extent
  • Potential for associated fractures or soft tissue injuries
  • Need for differentiation from other elbow injuries
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or complications
  • Lack of clarity on treatment provided
  • Inconsistent coding of similar injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans.

Common Clinical Scenarios

Management of open fractures, surgical fixation of elbow injuries, and treatment of compartment syndrome.

Billing Considerations

Ensure documentation specifies the type of fixation used and any complications encountered during surgery.

Emergency Medicine

Documentation Requirements

Thorough assessment notes, including mechanism of injury, initial treatment provided, and any imaging performed.

Common Clinical Scenarios

Initial evaluation and management of traumatic elbow injuries, including open wounds and fractures.

Billing Considerations

Document the urgency of the injury and any immediate interventions performed to prevent complications.

Coding Guidelines

Inclusion Criteria

Use S51.001 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used for open wounds specifically and that any associated injuries are documented and coded appropriately

Exclusion Criteria

Do NOT use S51.001 When
  • Exclude codes for closed wounds or specific fracture types unless they are documented

Related ICD-10 Codes

Related CPT Codes

24301CPT Code

Open treatment of elbow fracture

Clinical Scenario

Used when surgical intervention is required for an open fracture of the elbow.

Documentation Requirements

Operative report detailing the procedure performed and any complications.

Specialty Considerations

Orthopedic documentation should include specifics about fixation methods and post-operative care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. This has improved the granularity of data collected for research and treatment outcomes, but it also requires coders to be more diligent in documenting the specifics of each injury.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. This has improved the granularity of data collected for research and treatment outcomes, but it also requires coders to be more diligent in documenting the specifics of each injury.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. This has improved the granularity of data collected for research and treatment outcomes, but it also requires coders to be more diligent in documenting the specifics of each injury.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between an open and closed wound?

An open wound involves a break in the skin, exposing underlying tissues, while a closed wound does not break the skin and may involve bruising or internal damage.