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  6. 2024 ICD-10-CM Code S43.00

2024 ICD-10-CM Diagnosis Code S43.00

Unspecified subluxation and dislocation of shoulder joint

ICD-10-CM Code:
S43.00
ICD-10 Code for:
Unspecified subluxation and dislocation of shoulder joint
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)

S43.00 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified subluxation and dislocation of shoulder joint. 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.

Unspecified diagnosis codes like S43.00 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Unspecified subluxation and dislocation of shoulder joint

Non-specific codes like S43.00 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 unspecified subluxation and dislocation of shoulder joint:

  • S43.001 for Unspecified subluxation of right shoulder joint - NON-BILLABLE CODE

  • Use S43.001A for initial encounter - BILLABLE CODE

  • Use S43.001D for subsequent encounter - BILLABLE CODE

  • Use S43.001S for sequela - BILLABLE CODE

  • S43.002 for Unspecified subluxation of left shoulder joint - NON-BILLABLE CODE

  • Use S43.002A for initial encounter - BILLABLE CODE

  • Use S43.002D for subsequent encounter - BILLABLE CODE

  • Use S43.002S for sequela - BILLABLE CODE

  • S43.003 for Unspecified subluxation of unspecified shoulder joint - NON-BILLABLE CODE

  • Use S43.003A for initial encounter - BILLABLE CODE

  • Use S43.003D for subsequent encounter - BILLABLE CODE

  • Use S43.003S for sequela - BILLABLE CODE

  • S43.004 for Unspecified dislocation of right shoulder joint - NON-BILLABLE CODE

  • Use S43.004A for initial encounter - BILLABLE CODE

  • Use S43.004D for subsequent encounter - BILLABLE CODE

  • Use S43.004S for sequela - BILLABLE CODE

  • S43.005 for Unspecified dislocation of left shoulder joint - NON-BILLABLE CODE

  • Use S43.005A for initial encounter - BILLABLE CODE

  • Use S43.005D for subsequent encounter - BILLABLE CODE

  • Use S43.005S for sequela - BILLABLE CODE

  • S43.006 for Unspecified dislocation of unspecified shoulder joint - NON-BILLABLE CODE

  • Use S43.006A for initial encounter - BILLABLE CODE

  • Use S43.006D for subsequent encounter - BILLABLE CODE

  • Use S43.006S for sequela - 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.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Dislocation of humerus NOS
  • Subluxation of humerus NOS

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

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]

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.