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S43.002 vs S43.003

S43.002 (Unspecified subluxation of left shoulder joint) compared with S43.003 (Unspecified subluxation of unspecified shoulder joint), from the official CMS tabular data. S43.002 and S43.003 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S43.002
Left
Unspecified subluxation of left shoulder joint
S43.003
Unspecified
Unspecified subluxation of unspecified shoulder joint

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. S43.002 and S43.003 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

S43.002Unspecified subluxation of left shoulder jointS43.003Unspecified subluxation of unspecified shoulder joint
Billing statusNon-billable header

Report instead: S43.002A, S43.002D, S43.002S

Non-billable header

Report instead: S43.003A, S43.003D, S43.003S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionUnspecified subluxation of left shoulder joint is a non-billable ICD-10-CM category code (S43.002).Unspecified subluxation of unspecified shoulder joint is a non-billable ICD-10-CM category code (S43.003).
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