Not Valid for Submission
S43 is a "header" nonspecific 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 valid for the year 2021 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.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S43:
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 AlsoCode 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 ExcludesType 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 Note7th 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 Character7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
Information for Patients
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. Elderly people, 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.
- Closed reduction of a fractured bone (Medical Encyclopedia)
- Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)
- Dislocated shoulder - aftercare (Medical Encyclopedia)
- Shoulder CT scan (Medical Encyclopedia)
- Shoulder MRI scan (Medical Encyclopedia)
[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
- Ankle sprain - aftercare (Medical Encyclopedia)
- Elbow sprain -- aftercare (Medical Encyclopedia)
- Foot sprain - aftercare (Medical Encyclopedia)
- Hamstring strain - aftercare (Medical Encyclopedia)
- Hip flexor strain -- aftercare (Medical Encyclopedia)
- Sprains (Medical Encyclopedia)
- Strains (Medical Encyclopedia)
- Tendon repair (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]