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S43.215 vs S43.216

S43.215 (Anterior dislocation of left sternoclavicular joint) compared with S43.216 (Anterior dislocation of unspecified sternoclavicular joint), from the official CMS tabular data. S43.215 and S43.216 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S43.215
Left
Anterior dislocation of left sternoclavicular joint
S43.216
Unspecified
Anterior dislocation of unspecified sternoclavicular 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. S43.215 and S43.216 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

S43.215Anterior dislocation of left sternoclavicular jointS43.216Anterior dislocation of unspecified sternoclavicular joint
Billing statusNon-billable header

Report instead: S43.215A, S43.215D, S43.215S

Non-billable header

Report instead: S43.216A, S43.216D, S43.216S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionAnterior dislocation of left sternoclavicular joint is a non-billable ICD-10-CM category code (S43.215).Anterior dislocation of unspecified sternoclavicular joint is a non-billable ICD-10-CM category code (S43.216).
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