ICD-10-CM Code S43
Dislocation and sprain of joints and ligaments of shoulder girdle
NON-BILLABLE
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ICD-10 from 2011 - 2016
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.ICD Code S43 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of S43 that describes the diagnosis 'disloc and sprain of joints and ligaments of shoulder girdle' in more detail.
- S43 Dislocation and sprain of joints and ligaments of shoulder girdle NON-BILLABLE
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- S43.00 Unspecified subluxation and dislocation of shoulder joint NON-BILLABLE
- S43.01 Anterior subluxation and dislocation of humerus NON-BILLABLE
- S43.02 Posterior subluxation and dislocation of humerus NON-BILLABLE
- S43.03 Inferior subluxation and dislocation of humerus NON-BILLABLE
- S43.08 Other subluxation and dislocation of shoulder joint NON-BILLABLE
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- S43.10 Unspecified dislocation of acromioclavicular joint NON-BILLABLE
- S43.11 Subluxation of acromioclavicular joint NON-BILLABLE
- S43.12 Dislocation of acromioclavicular joint, 100%-200% displacement NON-BILLABLE
- S43.13 Dislocation of acromioclavicular joint, greater than 200% displacement NON-BILLABLE
- S43.14 Inferior dislocation of acromioclavicular joint NON-BILLABLE
- S43.15 Posterior dislocation of acromioclavicular joint NON-BILLABLE
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- S43.40 Unspecified sprain of shoulder joint NON-BILLABLE
- S43.41 Sprain of coracohumeral (ligament) NON-BILLABLE
- S43.42 Sprain of rotator cuff capsule NON-BILLABLE
- S43.43 Superior glenoid labrum lesion NON-BILLABLE
- S43.49 Other sprain of shoulder joint NON-BILLABLE
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- S43.50 Sprain of unspecified acromioclavicular joint NON-BILLABLE
- S43.51 Sprain of right acromioclavicular joint NON-BILLABLE
- S43.52 Sprain of left acromioclavicular joint NON-BILLABLE
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- S43.60 Sprain of unspecified sternoclavicular joint NON-BILLABLE
- S43.61 Sprain of right sternoclavicular joint NON-BILLABLE
- S43.62 Sprain of left sternoclavicular joint NON-BILLABLE
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Coding Notes for S43 Info for medical coders on how to properly use this ICD-10 code
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Code Includes Notes:
Includes
Includes notes further define, or give examples of, conditions included in the section. - 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
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Code Also Note:
Code Also
A Code Also note indicates that two or more codes may be required to fully describe a condition, but the order of codes is at the coder's discretion. Code order depends on the severity of the conditions and the reason for the encounter. - Any associated open wound
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Code Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here." - Strain of muscle, fascia and tendon of shoulder and upper arm - instead, use code S46.-
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7th Character Extension Notes:
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info - The appropriate 7th character is to be added to each code from category See Code S43