Billable / Specific Code
ICD-10-CM S43.499 is the diagnosis code for Other sprain of unspecified 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 billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where S43.499 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, S43.499 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S43.499 is the ICD-10-CM diagnosis code for "Other sprain of unspecified shoulder joint". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of S43.499 is S43.49 ("Other sprain of shoulder joint"). S43.499 provides a more specific classification within this category.
S43.499 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
Use S43.499 when the patients documented diagnosis matches "Other sprain of unspecified shoulder joint" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Other sprain of unspecified shoulder joint is S43.499.
Yes, S43.499 can be used as a primary diagnosis code since it is billable and specific.
S43.499 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S43.499 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.