S43

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Dislocation and sprain of joints and ligaments of shoulder girdle

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

S40-S49 Parent Instructions

Includes
  • injuries of axilla
  • injuries of scapular region
Excludes2(Not included here. Code separately if applicable.)

Instructional Notes

Includes
  • 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
Excludes2(Not included here. Code separately if applicable.)
  • strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
Code Also
  • any associated open wound

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
S40-S49Injuries to the shoulder and upper arm (S40-S49)
S43Dislocation and sprain of joints and ligaments of shoulder girdleNot billable
S43.0Subluxation and dislocation of shoulder jointSubcodes
S43.1Subluxation and dislocation of acromioclavicular jointSubcodes
S43.2Subluxation and dislocation of sternoclavicular jointSubcodes
S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdleSubcodes
S43.4Sprain of shoulder jointSubcodes
S43.5Sprain of acromioclavicular jointSubcodes
S43.6Sprain of sternoclavicular jointSubcodes
S43.8Sprain of other specified parts of shoulder girdleSubcodes
S43.9Sprain of unspecified parts of shoulder girdleSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S43:

blockS40-S49
Injuries to the shoulder and upper arm (S40-S49)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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