S43.6 — Sprain of sternoclavicular joint
Is S43.6 billable?
No — S43.6 is a non-billable header code. S43.6 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 9 billable codes beneath S43.6.
Billable codes under this header
- 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
S43.6 at a glance
| Code | S43.6 |
|---|---|
| Description | Sprain of sternoclavicular joint |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S43.6 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S43.6. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Sprain › sternoclavicular joint (joint) (ligament)
- Sprain › sternum › sternoclavicular (joint) (ligament)
Use additional code — inherited from Chapter 19
Report an additional code alongside S43.6 to fully describe the condition. S43.6 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 S43.6, but a patient may have both at the same time. When documentation supports it, S43.6 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43.6, but a patient may have both at the same time. When documentation supports it, S43.6 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S43
The conditions below are not part of S43.6, but a patient may have both at the same time. When documentation supports it, S43.6 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 S43.6 is sequenced first depends on the reason for the encounter.
- any associated open wound
What codes fall under S43.6? (3)
How long has S43.6 existed?
S43.6 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.
What other codes are in the S43 family? (8)
- 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
- S43.8Sprain of other specified parts of shoulder girdlenot billable
- S43.9Sprain of unspecified parts of shoulder girdlenot billable