S43.80XS (Sprain of other specified parts of unspecified shoulder girdle, sequela) compared with T34 (Frostbite with tissue necrosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“frostbite (T33-T34)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S43.80XS carries an Excludes2 note covering T34: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S43.80XSSprain of other specified parts of unspecified shoulder girdle, sequela | T34Frostbite with tissue necrosis | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T34.011A, T34.011D, T34.011S, T34.012A, T34.012D |
| Classification | S00-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) |
| Definition | Sprain of other specified parts of unspecified shoulder girdle, sequela is a billable ICD-10-CM diagnosis code (S43.80S). | Frostbite with tissue necrosis is a non-billable ICD-10-CM category code (T34). |
| 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 T34 |
| 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 | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources