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S43.035 vs S43.036

S43.035 (Inferior dislocation of left humerus) compared with S43.036 (Inferior dislocation of unspecified humerus), from the official CMS tabular data. S43.035 and S43.036 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S43.035
Left
Inferior dislocation of left humerus
S43.036
Unspecified
Inferior dislocation of unspecified humerus

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. S43.035 and S43.036 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

S43.035Inferior dislocation of left humerusS43.036Inferior dislocation of unspecified humerus
Billing statusNon-billable header

Report instead: S43.035A, S43.035D, S43.035S

Non-billable header

Report instead: S43.036A, S43.036D, S43.036S

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)
DefinitionInferior dislocation of left humerus is a non-billable ICD-10-CM category code (S43.035).Inferior dislocation of unspecified humerus is a non-billable ICD-10-CM category code (S43.036).
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