S43 is the authoritative medical code for Dislocation and sprain of joints and ligaments of shoulder girdle. This classification is used in medical billing and clinical recording to specify the clinical criteria for dislocation and sprain of joints and ligaments of shoulder girdle (ICD-10-CM S43), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Dislocation and sprain of joints and ligaments of shoulder girdle is a non-billable ICD-10-CM category code S43. A more specific billable subcode must be selected for claims submission. 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; traumatic rupture of joint or ligament of shoulder girdle; traumatic subluxation of joint or ligament of shoulder girdle; traumatic tear of joint or ligament of shoulder girdle; injuries of axilla; injuries of scapular region. Excludes2 (not included here): strain of muscle, fascia and tendon of shoulder and upper arm S46.-; burns and corrosions T20-T32; frostbite T33-T34; injuries of elbow S50-S59; insect bite or sting, venomous T63.4. Code also: any associated open wound. 7th character: The appropriate 7th character is to be added to each code from category S43.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S43 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 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
- traumatic rupture of joint or ligament of shoulder girdle
- traumatic subluxation of joint or ligament of shoulder girdle
- traumatic tear of joint or ligament of shoulder girdle
- injuries of axilla
- injuries of scapular region
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- strain of muscle, fascia and tendon of shoulder and upper arm S46.-
- burns and corrosions T20-T32
- frostbite T33-T34
- injuries of elbow S50-S59
- insect bite or sting, venomous T63.4
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S43 be billed directly?
No. S43 (Dislocation and sprain of joints and ligaments of shoulder girdle) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S43 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S43.
Can S43 be reported alongside related conditions?
Per Excludes2 instructions, S43 and the following may both be reported when both are present: strain of muscle, fascia and tendon of shoulder and upper arm (S46.-); burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59).
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as S43, with their registry titles.
- S43.0 — Subluxation and dislocation of shoulder joint
- S43.001 — Unspecified subluxation of right shoulder joint
- S43.001A — Unspecified subluxation of right shoulder joint, initial encounter
- S43.001D — Unspecified subluxation of right shoulder joint, subsequent encounter
- S43.001S — Unspecified subluxation of right shoulder joint, sequela
- S43.002 — Unspecified subluxation of left shoulder joint
- S43.002A — Unspecified subluxation of left shoulder joint, initial encounter
- S43.002D — Unspecified subluxation of left shoulder joint, subsequent encounter
- S43.002S — Unspecified subluxation of left shoulder joint, sequela
- S43.003 — Unspecified subluxation of unspecified shoulder joint
- S43.003A — Unspecified subluxation of unspecified shoulder joint, initial encounter
- S43.003D — Unspecified subluxation of unspecified shoulder joint, subsequent encounter
- S43.003S — Unspecified subluxation of unspecified shoulder joint, sequela
- S43.004 — Unspecified dislocation of right shoulder joint
- S43.004A — Unspecified dislocation of right shoulder joint, initial encounter
- S43.004D — Unspecified dislocation of right shoulder joint, subsequent encounter
- S43.004S — Unspecified dislocation of right shoulder joint, sequela
- S43.005 — Unspecified dislocation of left shoulder joint
- S43.005A — Unspecified dislocation of left shoulder joint, initial encounter
- S43.005D — Unspecified dislocation of left shoulder joint, subsequent encounter
- S43.005S — Unspecified dislocation of left shoulder joint, sequela
- S43.006 — Unspecified dislocation of unspecified shoulder joint
- S43.006A — Unspecified dislocation of unspecified shoulder joint, initial encounter
- S43.006D — Unspecified dislocation of unspecified shoulder joint, subsequent encounter
- S43.006S — Unspecified dislocation of unspecified shoulder joint, sequela
- S43.011 — Anterior subluxation of right humerus
- S43.011A — Anterior subluxation of right humerus, initial encounter
- S43.011D — Anterior subluxation of right humerus, subsequent encounter
- S43.011S — Anterior subluxation of right humerus, sequela
- S43.012 — Anterior subluxation of left humerus
- S43.012A — Anterior subluxation of left humerus, initial encounter
- S43.012D — Anterior subluxation of left humerus, subsequent encounter
- S43.012S — Anterior subluxation of left humerus, sequela
- S43.013 — Anterior subluxation of unspecified humerus
- S43.013A — Anterior subluxation of unspecified humerus, initial encounter
- S43.013D — Anterior subluxation of unspecified humerus, subsequent encounter
- S43.013S — Anterior subluxation of unspecified humerus, sequela
- S43.014 — Anterior dislocation of right humerus
- S43.014A — Anterior dislocation of right humerus, initial encounter
- S43.014D — Anterior dislocation of right humerus, subsequent encounter
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code S38
Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
ICD Code S39
Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
ICD Code S44
Injury of nerves at shoulder and upper arm level
ICD Code S45
Injury of blood vessels at shoulder and upper arm level
ICD Code S46
Injury of muscle, fascia and tendon at shoulder and upper arm level