{"code":"S43.012","type":"category","title":"Anterior subluxation of left humerus","codeAlso":["any associated open wound"],"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","injuries of axilla","injuries of scapular region"],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)","burns and corrosions (T20-T32)","frostbite (T33-T34)","injuries of elbow (S50-S59)","insect bite or sting, venomous (T63.4)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Anterior subluxation of left humerus is a non-billable ICD-10-CM category code (S43.012). A more specific billable subcode must be selected for claims submission.","officialDefinition":"Anterior subluxation of left humerus is a non-billable ICD-10-CM category code (S43.012). A more specific billable subcode must be selected for claims submission. 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; injuries of axilla; injuries of scapular region. Excludes2 (not included here): strain of muscle, fascia and tendon of shoulder and upper arm (S46.-); burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59); insect bite or sting, venomous (T63.4). Code also: any associated open wound. 7th character: The appropriate 7th character is to be added to each code from category S43.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S43"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}