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ICD-10/S43.61XD

S43.61XD ICD-10-CM Code: Sprain of right sternoclavicular joint, subsequent encounter

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.

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.

Official Registry Overview & Definition

Sprain of right sternoclavicular joint, subsequent encounter is a billable ICD-10-CM diagnosis code (S43.61D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S43.61XD 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.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated open wound

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S43.61XD 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

  • S43.61 — Sprain of right sternoclavicular joint [Hierarchy]

Clinical classification (CCSR)

  • INJ061 — Sprains and strains, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

Nearest codes (40)

  • S43 — Dislocation and sprain of joints and ligaments of shoulder girdle [Sibling]
  • S43.5 — Sprain of acromioclavicular joint [Sibling]
  • S43.50 — Sprain of unspecified acromioclavicular joint [Sibling]
  • S43.50XA — Sprain of unspecified acromioclavicular joint, initial encounter [Sibling]
  • S43.50XD — Sprain of unspecified acromioclavicular joint, subsequent encounter [Sibling]
  • S43.50XS — Sprain of unspecified acromioclavicular joint, sequela [Sibling]
  • S43.51 — Sprain of right acromioclavicular joint [Sibling]
  • S43.51XA — Sprain of right acromioclavicular joint, initial encounter [Sibling]
  • and 32 more

Relationships & Classification

Clinical classification (AHRQ CCSR):INJ061 — Sprains and strains, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

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 949 (MDC 23), DRG 950 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S43.61XD 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 S43.61XD in its code family, with their registry titles.

  • S43.60XA — Sprain of unspecified sternoclavicular joint, initial encounter
  • S43.60XD — Sprain of unspecified sternoclavicular joint, subsequent encounter
  • S43.60XS — Sprain of unspecified sternoclavicular joint, sequela
  • S43.61 — Sprain of right sternoclavicular joint
  • S43.61XA — Sprain of right sternoclavicular joint, initial encounter
  • S43.61XS — Sprain of right sternoclavicular joint, sequela
  • S43.62 — Sprain of left sternoclavicular joint
  • S43.62XA — Sprain of left sternoclavicular joint, initial encounter
  • S43.62XD — Sprain of left sternoclavicular joint, subsequent encounter
  • S43.62XS — Sprain of left sternoclavicular joint, sequela

View all codes in the S43 family