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S43.4

Non-billable

Sprain of shoulder joint

Sprain of shoulder joint

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

S40-S49

Parent Code

S43

Child Codes

5

Coding Notes

Includes

Conditions included under this code

  • injuries of axilla
  • injuries of scapular region
  • 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

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

Excludes 2

Conditions not included here, but the patient may have both

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)
  • strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

Use Additional Code

Additional codes that should follow this code

  • code to identify any retained foreign body, if applicable (Z18.-)

Code Also

A second code may be required; sequencing depends on circumstances

  • any associated open wound

Child Codes (5)

S43.40

Unspecified sprain of shoulder joint

S43.41

Sprain of coracohumeral (ligament)

S43.42

Sprain of rotator cuff capsule

S43.43

Superior glenoid labrum lesion

S43.49

Other sprain of shoulder joint

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code S43.4?

ICD-10-CM code S43.4 represents "Sprain of shoulder joint". It is a non-billable header code — use a more specific child code for billing purposes.

Is S43.4 a billable code?

No, S43.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 5 child codes under S43.4.

What chapter is S43.4 in?

S43.4 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S43.4?

S43.4 has Excludes1 notes indicating codes that cannot be used together with it, including: birth trauma (P10-P15); obstetric trauma (O70-O71).

What are the subcategories under S43.4?

S43.4 has 5 child codes, including: S43.40 (Unspecified sprain of shoulder joint), S43.41 (Sprain of coracohumeral (ligament)), S43.42 (Sprain of rotator cuff capsule), S43.43 (Superior glenoid labrum lesion), and 1 more.

Are additional codes required with S43.4?

Yes, when using S43.4 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S43.4?

S43.4 is linked to 1 UMLS Concept Unique Identifier: C0272869. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.