2027 ICD-10-CM Diagnosis Code S43Dislocation and sprain of joints and ligaments of shoulder girdle

ICD-10-CM Codes›S00–T88›S40-S49›S43

ICD-10-CM S43
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S43 is a non-billable ICD-10-CM category code for dislocation and sprain of joints and ligaments of shoulder girdle, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S43.001A, S43.001D, S43.001S, and S43.002A.

Code Identity

ICD-10-CM Code
S43
Billable Status
No — Non-Billable Category
Code Describes
Dislocation and sprain of joints and ligaments of shoulder girdle
Short Description
Disloc and sprain of joints and ligaments of shoulder girdle
Chapter
S40-S49
Injuries to the shoulder and upper arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS43Dislocation and sprain of joints and ligaments of shoulder girdle
This CodeS43Dislocation and sprain of joints and ligaments of shoulder girdle

Specific Coding for Disloc and sprain of joints and ligaments of shoulder girdleOverview

Non-specific codes like S43 require more characters. Use one of these billable codes instead:

  • S43.0 for Subluxation and dislocation of shoulder joint

  • S43.00 for Unspecified subluxation and dislocation of shoulder joint

  • S43.01 for Anterior subluxation and dislocation of humerus

  • S43.02 for Posterior subluxation and dislocation of humerus

  • S43.03 for Inferior subluxation and dislocation of humerus

  • S43.08 for Other subluxation and dislocation of shoulder joint

  • S43.1 for Subluxation and dislocation of acromioclavicular joint

  • S43.10 for Unspecified dislocation of acromioclavicular joint

  • S43.11 for Subluxation of acromioclavicular joint

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

  • S43.13 for Dislocation of acromioclavicular joint, greater than 200% displacement

  • S43.14 for Inferior dislocation of acromioclavicular joint

  • S43.15 for Posterior dislocation of acromioclavicular joint

  • S43.2 for Subluxation and dislocation of sternoclavicular joint

  • S43.20 for Unspecified subluxation and dislocation of sternoclavicular joint

  • S43.21 for Anterior subluxation and dislocation of sternoclavicular joint

  • S43.22 for Posterior subluxation and dislocation of sternoclavicular joint

  • S43.3 for Subluxation and dislocation of other and unspecified parts of shoulder girdle

  • S43.30 for Subluxation and dislocation of unspecified parts of shoulder girdle

  • S43.31 for Subluxation and dislocation of scapula

  • S43.39 for Subluxation and dislocation of other parts of shoulder girdle

  • S43.4 for Sprain of shoulder joint

  • S43.40 for Unspecified sprain of shoulder joint

  • S43.41 for Sprain of coracohumeral (ligament)

  • S43.42 for Sprain of rotator cuff capsule

  • S43.43 for Superior glenoid labrum lesion

  • S43.49 for Other sprain of shoulder joint

  • S43.5 for Sprain of acromioclavicular joint

  • S43.50 for Sprain of unspecified acromioclavicular joint

  • S43.51 for Sprain of right acromioclavicular joint

  • S43.52 for Sprain of left acromioclavicular joint

  • S43.6 for Sprain of sternoclavicular joint

  • S43.60 for Sprain of unspecified sternoclavicular joint

  • S43.61 for Sprain of right sternoclavicular joint

  • S43.62 for Sprain of left sternoclavicular joint

  • S43.8 for Sprain of other specified parts of shoulder girdle

  • S43.80 for Sprain of other specified parts of unspecified shoulder girdle

  • S43.81 for Sprain of other specified parts of right shoulder girdle

  • S43.82 for Sprain of other specified parts of left shoulder girdle

  • S43.9 for Sprain of unspecified parts of shoulder girdle

  • S43.90 for Sprain of unspecified parts of unspecified shoulder girdle

  • S43.91 for Sprain of unspecified parts of right shoulder girdle

  • S43.92 for Sprain of unspecified parts of left shoulder girdle

Coding GuidelinesGuidance

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 applicable episode of care:

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

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S43: its own notes plus those printed at block S40-S49 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

On S43 itself
  • 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
From Block S40-S49 Injuries to the shoulder and upper arm applies to 2,730 codes
  • injuries of axilla
  • injuries of scapular region

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On S43 itself
  • strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
From Block S40-S49 Injuries to the shoulder and upper arm applies to 2,730 codes
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

  • any associated open wound

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to each code from category S43
Values for category S43 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter
  • Dsubsequent encounter
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Patient EducationClinical

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.

The full article covers:

  • What is a dislocated shoulder?
  • What causes a dislocated shoulder?
  • Who is at risk for a dislocated shoulder?
  • What are the symptoms of a dislocated shoulder?
  • How is a dislocated shoulder diagnosed?
  • What are the treatments for a dislocated shoulder?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S43Overview

What is the ICD-10 code for dislocation and sprain of joints and ligaments of shoulder girdle?

S43 is the ICD-10-CM category for dislocation and sprain of joints and ligaments of shoulder girdle, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is S43 a billable code?

No. This is a category header that groups the codes for dislocation and sprain of joints and ligaments of shoulder girdle, and headers cannot be submitted on claims. Claims for dislocation and sprain of joints and ligaments of shoulder girdle need a more specific code from this category, such as S43.001A, S43.001D, and S43.001S.