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  6. 2024 ICD-10-CM Code S43
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S43

Dislocation and sprain of joints and ligaments of shoulder girdle

ICD-10-CM Code:
S43
ICD-10 Code for:
Disloc and sprain of joints and ligaments of shoulder girdle
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the shoulder and upper arm
      (S40-S49)
      • Dislocation and sprain of joints and ligaments of shoulder girdle
        (S43)

S43 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of dislocation and sprain of joints and ligaments of shoulder girdle. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Disloc and sprain of joints and ligaments of shoulder girdle

Non-specific codes like S43 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for disloc and sprain of joints and ligaments of shoulder girdle:

  • S43.0 for Subluxation and dislocation of shoulder joint - NON-BILLABLE CODE

  • S43.00 for Unspecified subluxation and dislocation of shoulder joint - NON-BILLABLE CODE

  • S43.01 for Anterior subluxation and dislocation of humerus - NON-BILLABLE CODE

  • S43.02 for Posterior subluxation and dislocation of humerus - NON-BILLABLE CODE

  • S43.03 for Inferior subluxation and dislocation of humerus - NON-BILLABLE CODE

  • S43.08 for Other subluxation and dislocation of shoulder joint - NON-BILLABLE CODE

  • S43.1 for Subluxation and dislocation of acromioclavicular joint - NON-BILLABLE CODE

  • S43.10 for Unspecified dislocation of acromioclavicular joint - NON-BILLABLE CODE

  • S43.11 for Subluxation of acromioclavicular joint - NON-BILLABLE CODE

  • S43.12 for Dislocation of acromioclavicular joint, 100%-200% displacement - NON-BILLABLE CODE

  • S43.13 for Dislocation of acromioclavicular joint, greater than 200% displacement - NON-BILLABLE CODE

  • S43.14 for Inferior dislocation of acromioclavicular joint - NON-BILLABLE CODE

  • S43.15 for Posterior dislocation of acromioclavicular joint - NON-BILLABLE CODE

  • S43.2 for Subluxation and dislocation of sternoclavicular joint - NON-BILLABLE CODE

  • S43.20 for Unspecified subluxation and dislocation of sternoclavicular joint - NON-BILLABLE CODE

  • S43.21 for Anterior subluxation and dislocation of sternoclavicular joint - NON-BILLABLE CODE

  • S43.22 for Posterior subluxation and dislocation of sternoclavicular joint - NON-BILLABLE CODE

  • S43.3 for Subluxation and dislocation of other and unspecified parts of shoulder girdle - NON-BILLABLE CODE

  • S43.30 for Subluxation and dislocation of unspecified parts of shoulder girdle - NON-BILLABLE CODE

  • S43.31 for Subluxation and dislocation of scapula - NON-BILLABLE CODE

  • S43.39 for Subluxation and dislocation of other parts of shoulder girdle - NON-BILLABLE CODE

  • S43.4 for Sprain of shoulder joint - NON-BILLABLE CODE

  • S43.40 for Unspecified sprain of shoulder joint - NON-BILLABLE CODE

  • S43.41 for Sprain of coracohumeral (ligament) - NON-BILLABLE CODE

  • S43.42 for Sprain of rotator cuff capsule - NON-BILLABLE CODE

  • S43.43 for Superior glenoid labrum lesion - NON-BILLABLE CODE

  • S43.49 for Other sprain of shoulder joint - NON-BILLABLE CODE

  • S43.5 for Sprain of acromioclavicular joint - NON-BILLABLE CODE

  • S43.50 for Sprain of unspecified acromioclavicular joint - NON-BILLABLE CODE

  • S43.51 for Sprain of right acromioclavicular joint - NON-BILLABLE CODE

  • S43.52 for Sprain of left acromioclavicular joint - NON-BILLABLE CODE

  • S43.6 for Sprain of sternoclavicular joint - NON-BILLABLE CODE

  • S43.60 for Sprain of unspecified sternoclavicular joint - NON-BILLABLE CODE

  • S43.61 for Sprain of right sternoclavicular joint - NON-BILLABLE CODE

  • S43.62 for Sprain of left sternoclavicular joint - NON-BILLABLE CODE

  • S43.8 for Sprain of other specified parts of shoulder girdle - NON-BILLABLE CODE

  • S43.80 for Sprain of other specified parts of unspecified shoulder girdle - NON-BILLABLE CODE

  • S43.81 for Sprain of other specified parts of right shoulder girdle - NON-BILLABLE CODE

  • S43.82 for Sprain of other specified parts of left shoulder girdle - NON-BILLABLE CODE

  • S43.9 for Sprain of unspecified parts of shoulder girdle - NON-BILLABLE CODE

  • S43.90 for Sprain of unspecified parts of unspecified shoulder girdle - NON-BILLABLE CODE

  • S43.91 for Sprain of unspecified parts of right shoulder girdle - NON-BILLABLE CODE

  • S43.92 for Sprain of unspecified parts of left shoulder girdle - NON-BILLABLE CODE

Coding Guidelines

The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of shoulder girdle (S43). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • 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

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • any associated open wound

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • strain of muscle, fascia and tendon of shoulder and upper arm S46

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category S43

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient Education


Dislocated Shoulder

What is a dislocated shoulder?

Your shoulder joint is made up of three bones: your collarbone, your shoulder blade, and your upper arm bone. The top of your upper arm bone is shaped like a ball. This ball fits into a cuplike socket in your shoulder blade. A shoulder dislocation is an injury that happens when the ball pops out of your socket. A dislocation may be partial, where the ball is only partially out of the socket. It can also be a full dislocation, where the ball is completely out of the socket.

What causes a dislocated shoulder?

Your shoulders are the most movable joints in your body. They are also the most commonly dislocated joints.

The most common causes of shoulder dislocations are:

  • Sports injuries
  • Accidents, including traffic accidents
  • Falling on your shoulder or outstretched arm
  • Seizures and electric shocks, which can cause muscle contractions that pull the arm out of place

Who is at risk for a dislocated shoulder?

A dislocated shoulder can happen to anyone, but they are more common in young men, who are more often involved in sports and other physical activities. Older adults, especially women, are also at higher risk because they are more likely to fall.

What are the symptoms of a dislocated shoulder?

The symptoms of a dislocated shoulder include:

  • Severe shoulder pain
  • Swelling and bruising of your shoulder or upper arm
  • Numbness and/or weakness in your arm, neck, hand, or fingers
  • Trouble moving your arm
  • Your arm seems to be out of place
  • Muscle spasms in your shoulder

If you are having these symptoms, get medical treatment right away.

How is a dislocated shoulder diagnosed?

To make a diagnosis, your health care provider will take a medical history and examine your shoulder. Your provider may also ask you to get an x-ray to confirm the diagnosis.

What are the treatments for a dislocated shoulder?

The treatment for dislocated shoulder usually involves three steps:

  • The first step is a closed reduction, a procedure in which your health care provider puts the ball of your upper arm back into the socket. You may first get medicine to relieve the pain and relax your shoulder muscles. Once the joint is back in place, the severe pain should end.
  • The second step is wearing a sling or other device to keep your shoulder in place. You will wear it for a few days to several weeks.
  • The third step is rehabilitation, once the pain and swelling have improved. You will do exercises to improve your range of motion and strengthen your muscles.

You may need surgery if you injure the tissues or nerves around the shoulder or if you get repeated dislocations.

A dislocation can make your shoulder unstable. When that happens, it takes less force to dislocate it. This means that there is a higher risk of it happening again. Your health care provider may ask you to continue doing some exercises to prevent another dislocation.


[Learn More in MedlinePlus]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.