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S43.014D vs S43.016D

S43.014D (Anterior dislocation of right humerus, subsequent encounter) compared with S43.016D (Anterior dislocation of unspecified humerus, subsequent encounter), from the official CMS tabular data. S43.014D and S43.016D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S43.014D
Right
Anterior dislocation of right humerus, subsequent encounter
S43.016D
Unspecified
Anterior dislocation of unspecified humerus, subsequent encounter

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. S43.014D and S43.016D 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

S43.014DAnterior dislocation of right humerus, subsequent encounterS43.016DAnterior dislocation of unspecified humerus, subsequent encounter
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)
DefinitionAnterior dislocation of right humerus, subsequent encounter is a billable ICD-10-CM diagnosis code (S43.014D).Anterior dislocation of unspecified humerus, subsequent encounter is a billable ICD-10-CM diagnosis code (S43.016D).
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