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ICD-10/S43.02

S43.02 ICD-10-CM Code: Posterior subluxation and dislocation of humerus

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Posterior subluxation and dislocation of humerus is a non-billable ICD-10-CM category code (S43.02). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S43.02 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 S43.02 be billed directly?

No. S43.02 (Posterior subluxation and dislocation of humerus) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S43.02 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S43.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S43.02 in its code family, with their registry titles.

  • S43.015S — Anterior dislocation of left humerus, sequela
  • S43.016 — Anterior dislocation of unspecified humerus
  • S43.016A — Anterior dislocation of unspecified humerus, initial encounter
  • S43.016D — Anterior dislocation of unspecified humerus, subsequent encounter
  • S43.016S — Anterior dislocation of unspecified humerus, sequela
  • S43.021 — Posterior subluxation of right humerus
  • S43.021A — Posterior subluxation of right humerus, initial encounter
  • S43.021D — Posterior subluxation of right humerus, subsequent encounter
  • S43.021S — Posterior subluxation of right humerus, sequela
  • S43.022 — Posterior subluxation of left humerus

View all codes in the S43 family