S23.20XS ICD-10-CM Code: Dislocation of unspecified part of thorax, sequela
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)
- MS-DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S23.20XS in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- avulsion of joint or ligament of thorax inherited from S23
- laceration of cartilage, joint or ligament of thorax inherited from S23
- sprain of cartilage, joint or ligament of thorax inherited from S23
- traumatic hemarthrosis of joint or ligament of thorax inherited from S23
- traumatic rupture of joint or ligament of thorax inherited from S23
- traumatic subluxation of joint or ligament of thorax inherited from S23
- traumatic tear of joint or ligament of thorax inherited from S23
- injuries of breast inherited from S23
- injuries of chest (wall) inherited from S23
- injuries of interscapular area inherited from S23
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- dislocation, sprain of sternoclavicular joint (S43.2, S43.6) inherited from S23Compare S23.20XS vs S43.2 →
- strain of muscle or tendon of thorax (S29.01-) inherited from S23Compare S23.20XS vs S29.01 →
- burns and corrosions (T20-T32) inherited from S23Compare S23.20XS vs T20 →
- effects of foreign body in bronchus (T17.5) inherited from S23Compare S23.20XS vs T17.5 →
- effects of foreign body in esophagus (T18.1) inherited from S23Compare S23.20XS vs T18.1 →
- effects of foreign body in lung (T17.8) inherited from S23Compare S23.20XS vs T17.8 →
- effects of foreign body in trachea (T17.4) inherited from S23Compare S23.20XS vs T17.4 →
- frostbite (T33-T34) inherited from S23Compare S23.20XS vs T33 →
- injuries of axilla inherited from S23
- injuries of clavicle inherited from S23
- injuries of scapular region inherited from S23
- injuries of shoulder inherited from S23
- insect bite or sting, venomous (T63.4) inherited from S23Compare S23.20XS vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Frequently Compared Codes
The official Excludes notes on S23.20XS name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2016 — 2015-10-01In the code set at ICD-10-CM adoptionDislocation of unspecified part of thorax, sequela
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 562 (MDC 08), DRG 563 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S23.20XA — Dislocation of unspecified part of thorax, initial encounter Compare S23.20XS vs S23.20XA →, S23.20XD — Dislocation of unspecified part of thorax, subsequent encounter
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Injury, sequela).
Contextual Map
Every relationship of S23.20XS in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S20-S29 — Injuries to the thorax [Hierarchy]
Clinical classification (CCSR)
- INJ073 — Injury, sequela [CCSR]
Potential MS-DRG
- DRG 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC [MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)”
- DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC [MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Nearest codes (40)
- S23 — Dislocation and sprain of joints and ligaments of thorax [Sibling]
- S23.162A — Subluxation of T11/T12 thoracic vertebra, initial encounter [Sibling]
- S23.162D — Subluxation of T11/T12 thoracic vertebra, subsequent encounter [Sibling]
- S23.162S — Subluxation of T11/T12 thoracic vertebra, sequela [Sibling]
- S23.163 — Dislocation of T11/T12 thoracic vertebra [Sibling]
- S23.163A — Dislocation of T11/T12 thoracic vertebra, initial encounter [Sibling]
- S23.163D — Dislocation of T11/T12 thoracic vertebra, subsequent encounter [Sibling]
- S23.163S — Dislocation of T11/T12 thoracic vertebra, sequela [Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S23.20XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S23.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S23.20XS in its code family, with their registry titles.
- S23.171S — Dislocation of T12/L1 thoracic vertebra, sequela
- S23.2 — Dislocation of other and unspecified parts of thorax
- S23.20 — Dislocation of unspecified part of thorax
- S23.20XA — Dislocation of unspecified part of thorax, initial encounter
- S23.20XD — Dislocation of unspecified part of thorax, subsequent encounter
- S23.29 — Dislocation of other parts of thorax
- S23.29XA — Dislocation of other parts of thorax, initial encounter
- S23.29XD — Dislocation of other parts of thorax, subsequent encounter
- S23.29XS — Dislocation of other parts of thorax, sequela
- S23.3 — Sprain of ligaments of thoracic spine