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S43.001S vs S43.002S

S43.001S (Unspecified subluxation of right shoulder joint, sequela) compared with S43.002S (Unspecified subluxation of left shoulder joint, sequela), from the official CMS tabular data. S43.001S and S43.002S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S43.001S
Right
Unspecified subluxation of right shoulder joint, sequela
S43.002S
Left
Unspecified subluxation of left shoulder joint, sequela

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S43.001S and S43.002S name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S43.001SUnspecified subluxation of right shoulder joint, sequelaS43.002SUnspecified subluxation of left shoulder joint, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionUnspecified subluxation of right shoulder joint, sequela is a billable ICD-10-CM diagnosis code (S43.001S).Unspecified subluxation of left shoulder joint, sequela is a billable ICD-10-CM diagnosis code (S43.002S).
7th characterThe appropriate 7th character is to be added to each code from category S43The appropriate 7th character is to be added to each code from category 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
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources