ICD-10-CM › S00-T88 › S40-S49 › S43 Dislocation and sprain of joints... › S43.4
Sprain 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.
Submit one of these 5 more specific codes instead:
- S43.40 Unspecified sprain of shoulder joint (also a header)
- S43.41 Sprain of coracohumeral (ligament) (also a header)
- S43.42 Sprain of rotator cuff capsule (also a header)
- S43.43 Superior glenoid labrum lesion (also a header)
- S43.49 Other sprain of 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 Sprain 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
Codes in the same group
| Code | Description | Status |
|---|---|---|
| S43.0 | Subluxation and dislocation of shoulder joint | Not billable |
| S43.1 | Subluxation and dislocation of acromioclavicular joint | Not billable |
| S43.2 | Subluxation and dislocation of sternoclavicular joint | Not billable |
| S43.3 | Subluxation and dislocation of other and unspecified parts of shoulder girdle | Not billable |
| S43.5 | Sprain of acromioclavicular joint | Not billable |
| S43.6 | Sprain of sternoclavicular joint | Not billable |
| S43.8 | Sprain of other specified parts of shoulder girdle | Not billable |
| S43.9 | Sprain of unspecified parts of shoulder girdle | Not billable |