S43.409 — Unspecified sprain of unspecified shoulder joint
Is S43.409 billable?
No — S43.409 is a non-billable header code. S43.409 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 3 billable codes beneath S43.409.
S43.409 at a glance
| Code | S43.409 |
|---|---|
| Description | Unspecified sprain of unspecified shoulder joint |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S43.409 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S43.40, the nearest indexed parent of S43.409. Use them to find the family, then select the specific code.
- Sprain › shoulder joint (joint) (ligament)
Use additional code — inherited from Chapter 19
Report an additional code alongside S43.409 to fully describe the condition. S43.409 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 S43.409, but a patient may have both at the same time. When documentation supports it, S43.409 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43.409, but a patient may have both at the same time. When documentation supports it, S43.409 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S43
The conditions below are not part of S43.409, but a patient may have both at the same time. When documentation supports it, S43.409 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 S43.409 is sequenced first depends on the reason for the encounter.
- any associated open wound
What codes fall under S43.409? (3)
How long has S43.409 existed?
S43.409 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.