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S43.80XS vs S43.81XS

S43.80XS (Sprain of other specified parts of unspecified shoulder girdle, sequela) compared with S43.81XS (Sprain of other specified parts of right shoulder girdle, sequela), from the official CMS tabular data. S43.80XS and S43.81XS code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S43.80XS
Unspecified
Sprain of other specified parts of unspecified shoulder girdle, sequela
S43.81XS
Right
Sprain of other specified parts of right shoulder girdle, 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. S43.80XS and S43.81XS 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

S43.80XSSprain of other specified parts of unspecified shoulder girdle, sequelaS43.81XSSprain of other specified parts of right shoulder girdle, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionSprain of other specified parts of unspecified shoulder girdle, sequela is a billable ICD-10-CM diagnosis code (S43.80S).Sprain of other specified parts of right shoulder girdle, sequela is a billable ICD-10-CM diagnosis code (S43.81S).
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