S43.396A vs S43.396D

S43.396A (Dislocation of other parts of unspecified shoulder girdle, initial encounter) compared with S43.396D (Dislocation of other parts of unspecified shoulder girdle, subsequent encounter), from the official CMS tabular data. S43.396A and S43.396D code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S43.396A

Initial encounter

Dislocation of other parts of unspecified shoulder girdle, initial encounter

↔

S43.396D

Subsequent encounter

Dislocation of other parts of unspecified shoulder girdle, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S43.396A and S43.396D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

	S43.396ADislocation of other parts of unspecified shoulder girdle, initial encounter	S43.396DDislocation of other parts of unspecified shoulder girdle, subsequent encounter
Billing status	Billable	Billable
Classification	S00-T88 — Injury, poisoning and certain other consequences of external causes	S00-T88 — Injury, poisoning and certain other consequences of external causes
Definition	Dislocation of other parts of unspecified shoulder girdle, initial encounter is a billable ICD-10-CM diagnosis code (S43.396A).	Dislocation of other parts of unspecified shoulder girdle, subsequent encounter is a billable ICD-10-CM diagnosis code (S43.396D).
7th character	The appropriate 7th character is to be added to each code from category S43	The 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

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources