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    OpenPayerBilling CodesInjuries to the shoulder and upper armICD-10-CM s43-dislocation-and-sprain-shoulder-girdle
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    ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Shoulder Girdle: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S43 includes dislocations and sprains of joints and ligaments of the shoulder girdle, covering injuries such as glenohumeral dislocation, acromioclavicular joint separation, and sprains or strains of the shoulder ligaments and capsule. These ICD-10-CM diagnosis codes are used to document acute traumatic shoulder injuries, specifying joint involved, laterality, and initial encounter versus subsequent care to capture clinical complexity. Accurate coding within the ICD-10-CM S43 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM S43: Dislocation And Sprain Of Joints And Ligaments Of Shoulder Girdle Overview

    The ICD-10-CM S43 group covers acute dislocations and sprains affecting the shoulder girdle, including injuries to the glenohumeral joint, acromioclavicular joint, and associated ligaments and capsule. These codes target musculoskeletal injuries of the shoulder and upper arm region and capture the nature and location of ligamentous or joint disruption. Accurate coding supports appropriate claim adjudication and ensures clinical documentation reflects the injury extent for treatment and reimbursement.

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    When to Use

    Use a code from this group when documenting an acute shoulder girdle dislocation or ligament sprain identified during evaluation or treatment. Select codes that indicate the exact joint involved, laterality, and whether the encounter is initial, subsequent, or for sequela to ensure accurate clinical and billing records.

    ICD-10-CM Codes

    333 rows

    ICD-10-CM CodeDescription
    S43.001AUnspecified subluxation of right shoulder joint, initial encounter
    S43.001DUnspecified subluxation of right shoulder joint, subsequent encounter
    S43.001SUnspecified subluxation of right shoulder joint, sequela
    S43.002AUnspecified subluxation of left shoulder joint, initial encounter
    S43.002DUnspecified subluxation of left shoulder joint, subsequent encounter
    S43.002SUnspecified subluxation of left shoulder joint, sequela
    S43.003AUnspecified subluxation of unspecified shoulder joint, initial encounter
    S43.003DUnspecified subluxation of unspecified shoulder joint, subsequent encounter
    S43.003SUnspecified subluxation of unspecified shoulder joint, sequela
    S43.004AUnspecified dislocation of right shoulder joint, initial encounter
    S43.004DUnspecified dislocation of right shoulder joint, subsequent encounter
    S43.004SUnspecified dislocation of right shoulder joint, sequela
    S43.005AUnspecified dislocation of left shoulder joint, initial encounter
    S43.005DUnspecified dislocation of left shoulder joint, subsequent encounter
    S43.005SUnspecified dislocation of left shoulder joint, sequela
    S43.006AUnspecified dislocation of unspecified shoulder joint, initial encounter
    S43.006DUnspecified dislocation of unspecified shoulder joint, subsequent encounter
    S43.006SUnspecified dislocation of unspecified shoulder joint, sequela
    S43.011AAnterior subluxation of right humerus, initial encounter
    S43.011DAnterior subluxation of right humerus, subsequent encounter

    Showing 1–20 of 333

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    DRG Codes

    10 rows

    DRG CodeDescription
    183Major Chest Trauma with MCC
    184Major Chest Trauma with CC
    185Major Chest Trauma without CC/MCC
    562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC
    563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the emergency department after falling onto an outstretched arm during a bicycle accident with acute severe shoulder pain, visible deformity and inability to move the shoulder. Imaging confirms an anterior dislocation of the glenohumeral joint without open wound; the patient requires closed reduction and immobilization. A code from the acute initial encounter subset is assigned to capture the current traumatic dislocation. Typical codes: S43.011A, S43.012A
    • An elderly patient with prior shoulder instability has recurrent episodes of subluxation and chronic pain limiting activities of daily living; the patient is seen in clinic for ongoing management, physical therapy referral, and evaluation for possible surgical stabilization. Because this is a subsequent encounter for the chronic instability/subluxation without acute open injury, a subsequent or sequela code from the appropriate later encounter category is used. Typical codes: S43.011D, S43.012D
    • A patient is seen after a motor vehicle collision who sustained multiple injuries including a traumatic shoulder dislocation complicated by neurovascular compromise requiring monitoring and additional procedures; the visit documents the complication and ongoing treatment during the initial hospitalization. A code indicating the dislocation in the current encounter is assigned from the initial encounter series and coupled with codes documenting the associated complications as appropriate. Typical codes: S43.011A, S43.021A

    Related Codes

    S40-SUPERFICIAL-INJURY-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Superficial Injury Of Shoulder And Upper Arm: Group Overview

    S41-OPEN-WOUND-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Open Wound Of Shoulder And Upper Arm: Group Overview

    S42-FRACTURE-OF-SHOULDER-AND-UPPER-ARM

    ICD-10-CM Code For Fracture Of Shoulder And Upper Arm: Group Overview

    S44-INJURY-OF-NERVES-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Injury Of Nerves At Shoulder And Upper Arm Level: Group Overview

    S45-INJURY-OF-BLOOD-VESSELS-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Injury Of Blood Vessels At Shoulder And Upper Arm Level: Group Overview

    S46-INJURY-OF-MUSCLE-FASCIA-AND-TENDON

    ICD-10-CM Code For Injury Of Muscle Fascia And Tendon At Shoulder And Upper Arm Level: Group Overview

    S47-CRUSHING-INJURY-OF-SHOULDER

    ICD-10-CM Code For Crushing Injury Of Shoulder And Upper Arm: Group Overview

    S48-TRAUMATIC-AMPUTATION-SHOULDER-UPPER-ARM

    ICD-10-CM Code For Traumatic Amputation Of Shoulder And Upper Arm: Group Overview

    S49-OTHER-AND-UNSPECIFIED-SHOULDER-INJURIES

    ICD-10-CM Code For Other And Unspecified Injuries Of Shoulder And Upper Arm: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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