S43.226D — Posterior dislocation of unspecified sternoclavicular joint, subsequent encounter
Is S43.226D billable?
Yes, but S43.226D is an unspecified code. S43.226D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S43.226D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S43.226D — the more specific alternatives are listed below.
More specific alternatives
- S43.221DPosterior subluxation of right sternoclavicular joint, subsequent encounter
- S43.222DPosterior subluxation of left sternoclavicular joint, subsequent encounter
- S43.224DPosterior dislocation of right sternoclavicular joint, subsequent encounter
- S43.225DPosterior dislocation of left sternoclavicular joint, subsequent encounter
S43.226D at a glance
| Code | S43.226D |
|---|---|
| Description | Posterior dislocation of unspecified sternoclavicular joint, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in S43.226D?
In S43.226D, the 7th character D means subsequent encounter. The 7th character is required for S43.226D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S43.226D group to?
S43.226D sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 949Aftercare with CC/MCCmedical
- 950Aftercare without CC/MCCmedical
How is S43.226D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S43.22, the nearest indexed parent of S43.226D. Use them to find the family, then select the specific code.
- Dislocation › sternoclavicular › posterior (articular)
- Subluxation › sternoclavicular › posterior
Use additional code — inherited from Chapter 19
Report an additional code alongside S43.226D to fully describe the condition. S43.226D 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 S43.226D, but a patient may have both at the same time. When documentation supports it, S43.226D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43.226D, but a patient may have both at the same time. When documentation supports it, S43.226D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S43
The conditions below are not part of S43.226D, but a patient may have both at the same time. When documentation supports it, S43.226D 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 S43.226D is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S43.226D existed?
S43.226D 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.