S43.82XA vs T34
S43.82XA (Sprain of other specified parts of left shoulder girdle, initial encounter) compared with T34 (Frostbite with tissue necrosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S43.82XA carries an Excludes2 note covering T34: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S43.82XASprain of other specified parts of left shoulder girdle, initial encounter | 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 left shoulder girdle, initial encounter is a billable ICD-10-CM diagnosis code (S43.82A). | 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