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S43.025S vs S43.026S

S43.025S (Posterior dislocation of left humerus, sequela) compared with S43.026S (Posterior dislocation of unspecified humerus, sequela), from the official CMS tabular data. S43.025S and S43.026S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S43.025S
Left
Posterior dislocation of left humerus, sequela
S43.026S
Unspecified
Posterior dislocation of unspecified humerus, 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. S43.025S and S43.026S 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

S43.025SPosterior dislocation of left humerus, sequelaS43.026SPosterior dislocation of unspecified humerus, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPosterior dislocation of left humerus, sequela is a billable ICD-10-CM diagnosis code (S43.025S).Posterior dislocation of unspecified humerus, sequela is a billable ICD-10-CM diagnosis code (S43.026S).
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