S43.00
Non-Billable

Unspecified subluxation and dislocation of shoulder joint

Non-Billable / Non-Specific Code

What is Unspecified subluxation and dislocation of shoulder joint?

ICD-10-CM S43.00 is the diagnosis code for Unspecified subluxation and dislocation of shoulder joint. This code falls under the section "Injuries to the shoulder and upper arm" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for S43.00

✅ This Code Includes

  • Dislocation of humerus NOS
  • Subluxation of humerus NOS

ICD-10-CM Code Hierarchy

Understanding where S43.00 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
S43.001Unspecified subluxation of right shoulder jointBillableS43.002Unspecified subluxation of left shoulder jointBillableS43.003Unspecified subluxation of unspecified shoulder jointBillableS43.004Unspecified dislocation of right shoulder jointBillableS43.005Unspecified dislocation of left shoulder jointBillableS43.006Unspecified dislocation of unspecified shoulder jointBillable
Related Codes

Frequently Asked Questions

Is S43.00 a billable ICD-10-CM code?

No, S43.00 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does S43.00 mean?

S43.00 is the ICD-10-CM diagnosis code for "Unspecified subluxation and dislocation of shoulder joint". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S43.00?

The parent code of S43.00 is S43.0 ("Subluxation and dislocation of shoulder joint"). S43.00 provides a more specific classification within this category.

What section is S43.00 in?

S43.00 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.

What are the sub-codes of S43.00?

S43.00 has 6 sub-code(s) that provide more specific detail: S43.001, S43.002, S43.003, S43.004, S43.005 and more.

When should I use S43.00?

Use S43.00 when the patients documented diagnosis matches "Unspecified subluxation and dislocation of shoulder joint" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Unspecified subluxation and dislocation of shoulder joint?

The ICD-10-CM code for Unspecified subluxation and dislocation of shoulder joint is S43.00.

Can S43.00 be used for primary diagnosis?

No, S43.00 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is S43.00 in?

S43.00 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S43.00 valid for 2026?

Yes, S43.00 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS43.0Subluxation and dislocation of shoulder jointNext →S43.001Unspecified subluxation of right shoulder joint
Code Details
S43.00
Unspecified subluxation and dislocation of shoulder joint
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
S40-S49 — Injuries to the shoulder and upper arm
2026 ICD-10-CM