S43.01 — Anterior subluxation and dislocation of humerus
Is S43.01 billable?
No — S43.01 is a non-billable header code. S43.01 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 18 billable codes beneath S43.01.
Billable codes under this header
- 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
- S43.013AAnterior subluxation of unspecified humerus, initial encounter
- S43.013DAnterior subluxation of unspecified humerus, subsequent encounter
- S43.013SAnterior subluxation of unspecified humerus, sequela
- S43.014AAnterior dislocation of right humerus, initial encounter
- S43.014DAnterior dislocation of right humerus, subsequent encounter
- S43.014SAnterior dislocation of right humerus, sequela
- S43.015AAnterior dislocation of left humerus, initial encounter
- S43.015DAnterior dislocation of left humerus, subsequent encounter
- S43.015SAnterior dislocation of left humerus, sequela
- S43.016AAnterior dislocation of unspecified humerus, initial encounter
- S43.016DAnterior dislocation of unspecified humerus, subsequent encounter
- S43.016SAnterior dislocation of unspecified humerus, sequela
S43.01 at a glance
| Code | S43.01 |
|---|---|
| Description | Anterior subluxation and dislocation of humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S43.01 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S43.01. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Dislocation › shoulder › humerus › anterior (articular)
- Subluxation › shoulder › traumatic › anterior
Use additional code — inherited from Chapter 19
Report an additional code alongside S43.01 to fully describe the condition. S43.01 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 S43.01, but a patient may have both at the same time. When documentation supports it, S43.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43.01, but a patient may have both at the same time. When documentation supports it, S43.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S43
The conditions below are not part of S43.01, but a patient may have both at the same time. When documentation supports it, S43.01 and the excluded code may both be reported.
- strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
Code also — inherited from S43
Two codes may be needed to describe the condition fully. Whether S43.01 is sequenced first depends on the reason for the encounter.
- any associated open wound
What codes fall under S43.01? (6)
- S43.011Anterior subluxation of right humerusnot billable
- S43.012Anterior subluxation of left humerusnot billable
- S43.013Anterior subluxation of unspecified humerusnot billable
- S43.014Anterior dislocation of right humerusnot billable
- S43.015Anterior dislocation of left humerusnot billable
- S43.016Anterior dislocation of unspecified humerusnot billable
How long has S43.01 existed?
S43.01 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.