Unspecified subluxation and dislocation of shoulder joint

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

S43.001 Unspecified subluxation of right shoulder joint (also a header)
S43.002 Unspecified subluxation of left shoulder joint (also a header)
S43.003 Unspecified subluxation of unspecified shoulder joint (also a header)
S43.004 Unspecified dislocation of right shoulder joint (also a header)
S43.005 Unspecified dislocation of left shoulder joint (also a header)
S43.006 Unspecified dislocation of unspecified shoulder joint (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Unspecified subluxation and dislocation of shoulder joint

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S43 Dislocation and sprain of joints and ligaments of shoulder girdle

Seventh character required

The appropriate 7th character is to be added to each code from category S43

Excludes2 - not included here

strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

Code also

any associated open wound

Includes

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

Inherited from the S40-S49 section Injuries to the shoulder and upper arm (S40-S49)

Excludes2 - not included here

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

Includes

injuries of axilla
injuries of scapular region

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Change > joint
Injury > axilla
Mushrooming hip
Change > hip joint
Dislocation > glenoid
Dislocation > partial
Derangement > shoulder
Dislocation > coracoid
Dislocation > incomplete
Dislocation > subglenoid
Injury > scapular region
Dislocation > glenohumeral
Dislocation > infracoracoid
Disorder > joint > derangement
Complex > jumped process, spine
Dislocation > thorax > vertebra
Injury > shoulder > dislocation
Dislocation > vertebra > partial
Dislocation > humerus, proximal end
Displacement, displaced > intervertebral disc NEC > due to trauma
Dislocation > shoulder > humerus
Subluxation > shoulder > traumatic

Codes in the same group

Code	Description	Status
S43.01	Anterior subluxation and dislocation of humerus	Not billable
S43.02	Posterior subluxation and dislocation of humerus	Not billable
S43.03	Inferior subluxation and dislocation of humerus	Not billable
S43.08	Other subluxation and dislocation of shoulder joint	Not billable