S43 — Dislocation and sprain of joints and ligaments of shoulder girdle
Not billable
Is S43 billable?
No — S43 is a non-billable header code. S43 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath S43.
Billable codes under this header
- S43.50XASprain of unspecified acromioclavicular joint, initial encounter
- S43.50XDSprain of unspecified acromioclavicular joint, subsequent encounter
- S43.50XSSprain of unspecified acromioclavicular joint, sequela
- S43.51XASprain of right acromioclavicular joint, initial encounter
- S43.51XDSprain of right acromioclavicular joint, subsequent encounter
- S43.51XSSprain of right acromioclavicular joint, sequela
- S43.52XASprain of left acromioclavicular joint, initial encounter
- S43.52XDSprain of left acromioclavicular joint, subsequent encounter
- S43.52XSSprain of left acromioclavicular joint, sequela
- S43.60XASprain of unspecified sternoclavicular joint, initial encounter
- S43.60XDSprain of unspecified sternoclavicular joint, subsequent encounter
- S43.60XSSprain of unspecified sternoclavicular joint, sequela
- S43.61XASprain of right sternoclavicular joint, initial encounter
- S43.61XDSprain of right sternoclavicular joint, subsequent encounter
- S43.61XSSprain of right sternoclavicular joint, sequela
- S43.62XASprain of left sternoclavicular joint, initial encounter
- S43.62XDSprain of left sternoclavicular joint, subsequent encounter
- S43.62XSSprain of left sternoclavicular joint, sequela
- S43.80XASprain of other specified parts of unspecified shoulder girdle, initial encounter
- S43.80XDSprain of other specified parts of unspecified shoulder girdle, subsequent encounter
- S43.80XSSprain of other specified parts of unspecified shoulder girdle, sequela
- S43.81XASprain of other specified parts of right shoulder girdle, initial encounter
- S43.81XDSprain of other specified parts of right shoulder girdle, subsequent encounter
- S43.81XSSprain of other specified parts of right shoulder girdle, sequela
- S43.82XASprain of other specified parts of left shoulder girdle, initial encounter
- S43.82XDSprain of other specified parts of left shoulder girdle, subsequent encounter
- S43.82XSSprain of other specified parts of left shoulder girdle, sequela
- S43.90XASprain of unspecified parts of unspecified shoulder girdle, initial encounter
- S43.90XDSprain of unspecified parts of unspecified shoulder girdle, subsequent encounter
- S43.90XSSprain of unspecified parts of unspecified shoulder girdle, sequela
- S43.91XASprain of unspecified parts of right shoulder girdle, initial encounter
- S43.91XDSprain of unspecified parts of right shoulder girdle, subsequent encounter
- S43.91XSSprain of unspecified parts of right shoulder girdle, sequela
- S43.92XASprain of unspecified parts of left shoulder girdle, initial encounter
- S43.92XDSprain of unspecified parts of left shoulder girdle, subsequent encounter
- S43.92XSSprain of unspecified parts of left shoulder girdle, sequela
- S43.001AUnspecified subluxation of right shoulder joint, initial encounter
- S43.001DUnspecified subluxation of right shoulder joint, subsequent encounter
- S43.001SUnspecified subluxation of right shoulder joint, sequela
- S43.002AUnspecified subluxation of left shoulder joint, initial encounter
- S43.002DUnspecified subluxation of left shoulder joint, subsequent encounter
- S43.002SUnspecified subluxation of left shoulder joint, sequela
- S43.003AUnspecified subluxation of unspecified shoulder joint, initial encounter
- S43.003DUnspecified subluxation of unspecified shoulder joint, subsequent encounter
- S43.003SUnspecified subluxation of unspecified shoulder joint, sequela
- S43.004AUnspecified dislocation of right shoulder joint, initial encounter
- S43.004DUnspecified dislocation of right shoulder joint, subsequent encounter
- S43.004SUnspecified dislocation of right shoulder joint, sequela
- S43.005AUnspecified dislocation of left shoulder joint, initial encounter
- S43.005DUnspecified dislocation of left shoulder joint, subsequent encounter
- S43.005SUnspecified dislocation of left shoulder joint, sequela
- S43.006AUnspecified dislocation of unspecified shoulder joint, initial encounter
- S43.006DUnspecified dislocation of unspecified shoulder joint, subsequent encounter
- S43.006SUnspecified dislocation of unspecified shoulder joint, sequela
- S43.011AAnterior subluxation of right humerus, initial encounter
- S43.011DAnterior subluxation of right humerus, subsequent encounter
- S43.011SAnterior subluxation of right humerus, sequela
- S43.012AAnterior subluxation of left humerus, initial encounter
- S43.012DAnterior subluxation of left humerus, subsequent encounter
- S43.012SAnterior subluxation of left humerus, sequela
S43 at a glance
| Code | S43 |
|---|---|
| Description | Dislocation and sprain of joints and ligaments of shoulder girdle |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of S43, but a patient may have both at the same time. When documentation supports it, S43 and the excluded code may both be reported.
- strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
Code also
Two codes may be needed to describe the condition fully. Whether S43 is sequenced first depends on the reason for the encounter.
- any associated open wound
Includes
Conditions classified to S43.
- avulsion of joint or ligament of shoulder girdle
- laceration of cartilage, joint or ligament of shoulder girdle
- sprain of cartilage, joint or ligament of shoulder girdle
- traumatic hemarthrosis of joint or ligament of shoulder girdle
- traumatic rupture of joint or ligament of shoulder girdle
- traumatic subluxation of joint or ligament of shoulder girdle
- traumatic tear of joint or ligament of shoulder girdle
Use additional code — inherited from Chapter 19
Report an additional code alongside S43 to fully describe the condition. S43 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S43, but a patient may have both at the same time. When documentation supports it, S43 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43, but a patient may have both at the same time. When documentation supports it, S43 and the excluded code may both be reported.
What codes fall under S43? (9)
- S43.0Subluxation and dislocation of shoulder jointnot billable
- S43.1Subluxation and dislocation of acromioclavicular jointnot billable
- S43.2Subluxation and dislocation of sternoclavicular jointnot billable
- S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdlenot billable
- S43.4Sprain of shoulder jointnot billable
- S43.5Sprain of acromioclavicular jointnot billable
- S43.6Sprain of sternoclavicular jointnot billable
- S43.8Sprain of other specified parts of shoulder girdlenot billable
- S43.9Sprain of unspecified parts of shoulder girdlenot billable
How long has S43 existed?
S43 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.