ICD-10-CM › S00-T88 › S40-S49 › S43 Dislocation and sprain of joints... › S43.6

S43.6

Sprain of sternoclavicular 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 3 more specific codes instead:

  • S43.60 Sprain of unspecified sternoclavicular joint (also a header)
  • S43.61 Sprain of right sternoclavicular joint (also a header)
  • S43.62 Sprain of left sternoclavicular 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.

  1. FY2012 Added to the draft code set draft Sprain of sternoclavicular 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.

Showing 40 of 42 index phrases.

Codes in the same group

CodeDescriptionStatus
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
S43.4 Sprain of shoulder joint Not billable
S43.5 Sprain of acromioclavicular 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