Category · FY2027
S43 Dislocation and sprain of joints and ligaments of shoulder girdle
- Header · not billable
- Codes take a 7th character
S43 is not billable. The category heads 333 billable codes in FY2027, grouped under 9 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.
Index → code
Where it sits
- Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S40-S49 Injuries to the shoulder and upper arm (S40-S49)
- S43 Dislocation and sprain of joints and ligaments of shoulder girdle
- Billable codes
- 333
- Subdivisions
- 9
- CC / MCC codes
- 18 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 44
Codes in S43
- S43.0Subluxation and dislocation of shoulder jointHeader
Inclusion terms 2
Inclusion terms
- Dislocation of glenohumeral joint
- Subluxation of glenohumeral joint
- S43.00Unspecified subluxation and dislocation of shoulder jointHeader
Inclusion terms 2
Inclusion terms
- Dislocation of humerus NOS
- Subluxation of humerus NOS
- S43.001Unspecified subluxation of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.002Unspecified subluxation of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.003Unspecified subluxation of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.004Unspecified dislocation of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.005Unspecified dislocation of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.006Unspecified dislocation of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.01Anterior subluxation and dislocation of humerusHeader
- S43.011Anterior subluxation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.012Anterior subluxation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.013Anterior subluxation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.014Anterior dislocation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.015Anterior dislocation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.016Anterior dislocation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.02Posterior subluxation and dislocation of humerusHeader
- S43.021Posterior subluxation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.022Posterior subluxation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.023Posterior subluxation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.024Posterior dislocation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.025Posterior dislocation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.026Posterior dislocation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.03Inferior subluxation and dislocation of humerusHeader
- S43.031Inferior subluxation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.032Inferior subluxation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.033Inferior subluxation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.034Inferior dislocation of right humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.035Inferior dislocation of left humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.036Inferior dislocation of unspecified humerus +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.08Other subluxation and dislocation of shoulder jointHeader
- S43.081Other subluxation of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.082Other subluxation of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.083Other subluxation of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.084Other dislocation of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.085Other dislocation of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.086Other dislocation of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.1Subluxation and dislocation of acromioclavicular jointHeader
- S43.10Unspecified dislocation of acromioclavicular jointHeader
- S43.101Unspecified dislocation of right acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.102Unspecified dislocation of left acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.109Unspecified dislocation of unspecified acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.11Subluxation of acromioclavicular jointHeader
- S43.111Subluxation of right acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.112Subluxation of left acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.119Subluxation of unspecified acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.12Dislocation of acromioclavicular joint, 100%-200% displacementHeader
- S43.121Dislocation of right acromioclavicular joint, 100%-200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.122Dislocation of left acromioclavicular joint, 100%-200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.129Dislocation of unspecified acromioclavicular joint, 100%-200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.13Dislocation of acromioclavicular joint, greater than 200% displacementHeader
- S43.131Dislocation of right acromioclavicular joint, greater than 200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.132Dislocation of left acromioclavicular joint, greater than 200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.139Dislocation of unspecified acromioclavicular joint, greater than 200% displacement +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.14Inferior dislocation of acromioclavicular jointHeader
- S43.141Inferior dislocation of right acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.142Inferior dislocation of left acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.149Inferior dislocation of unspecified acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.15Posterior dislocation of acromioclavicular jointHeader
- S43.151Posterior dislocation of right acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.152Posterior dislocation of left acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.159Posterior dislocation of unspecified acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.2Subluxation and dislocation of sternoclavicular jointHeader
- S43.20Unspecified subluxation and dislocation of sternoclavicular jointHeader
- S43.201Unspecified subluxation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.202Unspecified subluxation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.203Unspecified subluxation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.204Unspecified dislocation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.205Unspecified dislocation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.206Unspecified dislocation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.21Anterior subluxation and dislocation of sternoclavicular jointHeader
- S43.211Anterior subluxation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.212Anterior subluxation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.213Anterior subluxation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.214Anterior dislocation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.215Anterior dislocation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.216Anterior dislocation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.22Posterior subluxation and dislocation of sternoclavicular jointHeader
- S43.221Posterior subluxation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.222Posterior subluxation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.223Posterior subluxation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.224Posterior dislocation of right sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.225Posterior dislocation of left sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.226Posterior dislocation of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
- S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdleHeader
- S43.30Subluxation and dislocation of unspecified parts of shoulder girdleHeader
Inclusion terms 2
Inclusion terms
- Dislocation of shoulder girdle NOS
- Subluxation of shoulder girdle NOS
- S43.301Subluxation of unspecified parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.302Subluxation of unspecified parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.303Subluxation of unspecified parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.304Dislocation of unspecified parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.305Dislocation of unspecified parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.306Dislocation of unspecified parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.31Subluxation and dislocation of scapulaHeader
- S43.311Subluxation of right scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.312Subluxation of left scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.313Subluxation of unspecified scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.314Dislocation of right scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.315Dislocation of left scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.316Dislocation of unspecified scapula +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.39Subluxation and dislocation of other parts of shoulder girdleHeader
- S43.391Subluxation of other parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.392Subluxation of other parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.393Subluxation of other parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.394Dislocation of other parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.395Dislocation of other parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.396Dislocation of other parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.4Sprain of shoulder jointHeader
- S43.40Unspecified sprain of shoulder jointHeader
- S43.401Unspecified sprain of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.402Unspecified sprain of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.409Unspecified sprain of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.41Sprain of coracohumeral (ligament)Header
- S43.411Sprain of right coracohumeral (ligament) +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.412Sprain of left coracohumeral (ligament) +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.419Sprain of unspecified coracohumeral (ligament) +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.42
- S43.421Sprain of right rotator cuff capsule +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.422Sprain of left rotator cuff capsule +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.429Sprain of unspecified rotator cuff capsule +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.43Superior glenoid labrum lesionHeader
Inclusion terms 1
Inclusion terms
- SLAP lesion
- S43.431Superior glenoid labrum lesion of right shoulder +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.432Superior glenoid labrum lesion of left shoulder +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.439Superior glenoid labrum lesion of unspecified shoulder +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.49Other sprain of shoulder jointHeader
- S43.491Other sprain of right shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.492Other sprain of left shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.499Other sprain of unspecified shoulder joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.5Sprain of acromioclavicular jointHeader
Inclusion terms 1
Inclusion terms
- Sprain of acromioclavicular ligament
- S43.50Sprain of unspecified acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.51Sprain of right acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.52Sprain of left acromioclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.6Sprain of sternoclavicular jointHeader
- S43.60Sprain of unspecified sternoclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.61Sprain of right sternoclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.62Sprain of left sternoclavicular joint +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.8Sprain of other specified parts of shoulder girdleHeader
- S43.80Sprain of other specified parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.81Sprain of other specified parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.82Sprain of other specified parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.9Sprain of unspecified parts of shoulder girdleHeader
- S43.90Sprain of unspecified parts of unspecified shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
Inclusion terms 1
Inclusion terms
- Sprain of shoulder girdle NOS
- S43.91Sprain of unspecified parts of right shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- S43.92Sprain of unspecified parts of left shoulder girdle +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.
Instructions
At S43
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
- strain of muscle, fascia and tendon of shoulder and upper arm (S46.-) S46
Code also
- any associated open wound
Notes that also apply
Block S40-S49 instructions (Includes 2, Excludes2 4): printed on the block page.
Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.
7th characters
7th characters for S43 defined here
The appropriate 7th character is to be added to each code from category S43
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.
Index entries
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic) → S43.006
- Dislocation (articular)›acromioclavicular (joint) → S43.10-
- Subluxation›acromioclavicular → S43.11-
- Subluxation›sternoclavicular (joint) → S43.20-
- Dislocation (articular)›sternoclavicular (joint) → S43.206
- Sprain (joint) (ligament)›shoulder joint → S43.40-
- Sprain (joint) (ligament)›coracohumeral → S43.41-
- Sprain (joint) (ligament)›rotator cuff (capsule) → S43.42-
- Lesion(s) (nontraumatic)›SLAP → S43.43-
- Lesion(s) (nontraumatic)›superior glenoid labrum → S43.43-
- Degeneration, degenerative›anterior labral → S43.49-
- Sprain (joint) (ligament)›acromioclavicular joint or ligament → S43.5-
- Sprain (joint) (ligament)›sternoclavicular joint → S43.6-
- Sprain (joint) (ligament)›coracoclavicular → S43.8-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›humerus → S43.00-
- Subluxation›shoulder›traumatic → S43.00-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›specified type NEC → S43.08-
- Dislocation (articular)›acromioclavicular (joint)›inferior → S43.14-
- Dislocation (articular)›acromioclavicular (joint)›posterior → S43.15-
- Dislocation (articular)›sternoclavicular (joint)›anterior → S43.21-
- Subluxation›sternoclavicular (joint)›anterior → S43.21-
- Dislocation (articular)›sternoclavicular (joint)›posterior → S43.22-
- Subluxation›sternoclavicular (joint)›posterior → S43.22-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›girdle → S43.30-
- Subluxation›shoulder›girdle → S43.30-
- Cyst (colloid) (mucous) (simple) (retention)›paralabral›shoulder → S43.43-
- Sprain (joint) (ligament)›shoulder joint›specified site NEC → S43.49-
- Sprain (joint) (ligament)›sternum›sternoclavicular (joint) (ligament) → S43.6-
- Sprain (joint) (ligament)›shoulder joint›girdle → S43.9-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›humerus›anterior → S43.01-
- Subluxation›shoulder›traumatic›anterior → S43.01-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›humerus›posterior → S43.02-
- Subluxation›shoulder›traumatic›posterior → S43.02-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›humerus›inferior → S43.03-
- Subluxation›shoulder›traumatic›inferior → S43.03-
- Subluxation›shoulder›traumatic›specified type NEC → S43.08-
- Dislocation (articular)›acromioclavicular (joint)›with displacement›100%-200% → S43.12-
- Dislocation (articular)›acromioclavicular (joint)›with displacement›more than 200% → S43.13-
- Dislocation (articular)›shoulder (blade) (ligament) (joint) (traumatic)›girdle›scapula → S43.31-
- Subluxation›shoulder›girdle›scapula → S43.31-
4 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.