S51.012A: Laceration without foreign body of left elbow, initial encounter

S51.012A, laceration without foreign body of left elbow, initial encounter, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 36 HCPCS Level II codes, including J1670 (Injection, tetanus immune globulin, human, up to 250 units), G0281 (Electrical stimulation, (unattended), to one or more…), G0329 (Electromagnetic therapy, to one or more areas for chronic…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with S51.012A as a covered diagnosis

Code	Description	Medicare coverage	DMEPOS fee 2026 (state range)	Articles listing it
J1670	Injection, tetanus immune globulin, human, up to 250 units	Special coverage instructions apply	—	2
G0281	Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care	Carrier judgment	—	2
G0329	Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care	Carrier judgment	—	2
J1575	Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin	Carrier judgment	—	1
J1569	Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg	Special coverage instructions apply	—	1
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	Special coverage instructions apply	—	1
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	Carrier judgment	—	1
J1557	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg	Carrier judgment	—	1
J1556	Injection, immune globulin (bivigam), 500 mg	Carrier judgment	—	1
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	Carrier judgment	—	1
J1566	Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg	Special coverage instructions apply	—	1
J1554	Injection, immune globulin (asceniv), 500 mg	Carrier judgment	—	1
J1599	Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg	Carrier judgment	—	1
J1572	Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg	Special coverage instructions apply	—	1
J1460	Injection, gamma globulin, intramuscular, 1 cc	Special coverage instructions apply	—	1
J0840	Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram	Carrier judgment	—	1
J0850	Injection, cytomegalovirus immune globulin intravenous (human), per vial	Special coverage instructions apply	—	1
J1552	Injection, immune globulin (alyglo), 500 mg	Carrier judgment	—	1
J1560	Injection, gamma globulin, intramuscular, over 10 cc	Special coverage instructions apply	—	1
J1571	Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml	Special coverage instructions apply	—	1
J1573	Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml	Carrier judgment	—	1
J1577	Injection, immune globulin (qivigy), 100 mg	Carrier judgment	—	1
G0008	Administration of influenza virus vaccine	Carrier judgment	—	1
G0009	Administration of pneumococcal vaccine	Carrier judgment	—	1
G0010	Administration of hepatitis b vaccine	Carrier judgment	—	1

11 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing S51.012A

A57554: Billing and Coding: Immune Globulins (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 20 Level II codes). LCD with the same title: L34771
A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
A52438: Billing and Coding: Tetanus Immunization (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes)
A54767: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines (Palmetto GBA (MAC - Part A, MAC - Part B); 9 Level II codes)
A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other S51 diagnoses (Open wound of elbow and forearm)

S51.011A — Laceration without foreign body of right elbow, initial encounter
S51.021A — Laceration with foreign body of right elbow, initial encounter
S51.022A — Laceration with foreign body of left elbow, initial encounter
S51.031A — Puncture wound without foreign body of right elbow, initial encounter
S51.032A — Puncture wound without foreign body of left elbow, initial encounter
S51.041A — Puncture wound with foreign body of right elbow, initial encounter
S51.042A — Puncture wound with foreign body of left elbow, initial encounter
S51.051A — Open bite, right elbow, initial encounter
S51.052A — Open bite, left elbow, initial encounter
S51.811A — Laceration without foreign body of right forearm, initial encounter
S51.812A — Laceration without foreign body of left forearm, initial encounter
S51.821A — Laceration with foreign body of right forearm, initial encounter
S51.822A — Laceration with foreign body of left forearm, initial encounter
S51.831A — Puncture wound without foreign body of right forearm, initial…
S51.832A — Puncture wound without foreign body of left forearm, initial encounter
S51.841A — Puncture wound with foreign body of right forearm, initial encounter
S51.842A — Puncture wound with foreign body of left forearm, initial encounter
S51.851A — Open bite of right forearm, initial encounter
S51.852A — Open bite of left forearm, initial encounter

Frequently asked questions

Does Medicare cover S51.012A (Laceration without foreign body of left elbow, initial…)?

Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list S51.012A as a covered diagnosis for 36 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 S51.012A?

The Level II codes from the policies most specific to this diagnosis are J1670 (Injection, tetanus immune globulin, human, up to 250 units, 2 articles); G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); J1575 (Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg…, 1 article); J1569 (Injection, immune globulin, (gammagard liquid/gammagard…, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list S51.012A?

A57554 (Billing and Coding: Immune Globulins); A55909 (Billing and Coding: Wound Care); A52438 (Billing and Coding: Tetanus Immunization), and 2 more articles.

What is ICD-10-CM code S51.012A?

S51.012A is the ICD-10-CM code for laceration without foreign body of left elbow, initial encounter, in category S51 (Open wound of elbow and forearm), chapter 19: Injury, poisoning and other consequences of external causes.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup