ICD-10-CM Code S43.4
Sprain of shoulder joint
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 S43.4 is a non-billable code. To code a diagnosis of this type, you must use one of the five child codes of S43.4 that describes the diagnosis 'sprain of shoulder joint' in more detail.
- S43.4 Sprain of shoulder joint NON-BILLABLE
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- S43.401 Unspecified sprain of right shoulder joint NON-BILLABLE
- S43.402 Unspecified sprain of left shoulder joint NON-BILLABLE
- S43.409 Unspecified sprain of unspecified shoulder joint NON-BILLABLE
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- S43.411 Sprain of right coracohumeral (ligament) NON-BILLABLE
- S43.412 Sprain of left coracohumeral (ligament) NON-BILLABLE
- S43.419 Sprain of unspecified coracohumeral (ligament) NON-BILLABLE
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- S43.421 Sprain of right rotator cuff capsule NON-BILLABLE
- S43.422 Sprain of left rotator cuff capsule NON-BILLABLE
- S43.429 Sprain of unspecified rotator cuff capsule NON-BILLABLE
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- S43.491 Other sprain of right shoulder joint NON-BILLABLE
- S43.492 Other sprain of left shoulder joint NON-BILLABLE
- S43.499 Other sprain of unspecified shoulder joint NON-BILLABLE
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Related Concepts SNOMET-CT
- Sprain, shoulder joint, anterior (disorder)
- Sprain of shoulder rotator cuff (disorder)
- Strain of rotator cuff capsule (disorder)
Coding Advice SNOMET-CT
- Possible requirement for an external cause code
Parent Code: S43 - Dislocation and sprain of joints and ligaments of shoulder girdle