S43.4

Non-Billable

ChapterS00–T88

Ranksubcategory

Official Description

Sprain of shoulder joint

Use a more specific code (0 billable, 5 non-billable)

Metadata & Insights

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

General instructions are available for the parent sections:

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 girdle

S43.4Sprain of shoulder jointNot billable

S43.40Unspecified sprain of shoulder jointSubcodes

S43.41Sprain of coracohumeral (ligament)Subcodes

S43.42Sprain of rotator cuff capsuleSubcodes

S43.43Superior glenoid labrum lesionSubcodes

S43.49Other sprain of shoulder jointSubcodes

The following parent sections contain instructions or notes that apply to S43.4:

categoryS43

Dislocation and sprain of joints and ligaments of shoulder girdle

Injuries to the shoulder and upper arm (S40-S49)

chapterCH19

Injury, poisoning and certain other consequences of external causes (S00-T88)

2026

No direct MS-DRG triggers identified.

Find surgical and procedural codes related to Sprain of shoulder joint.