Non-Billable / Non-Specific Code
ICD-10-CM S43 is the diagnosis code for Dislocation and sprain of joints and ligaments of shoulder girdle. This code falls under the section "Injuries to the shoulder and upper arm" within Chapter 19 â 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.
The following conditions are not included in S43. If the patient has both, code each condition separately:
Understanding where S43 sits in the ICD-10-CM classification helps ensure proper coding:
No, S43 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
S43 is the ICD-10-CM diagnosis code for "Dislocation and sprain of joints and ligaments of shoulder girdle". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
S43 is located in Section S40-S49 â "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
S43 has 9 sub-code(s) that provide more specific detail: S43.0, S43.1, S43.2, S43.3, S43.4 and more.
Use S43 when the patients documented diagnosis matches "Dislocation and sprain of joints and ligaments of shoulder girdle" 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 Dislocation and sprain of joints and ligaments of shoulder girdle is S43.
No, S43 is non-billable. Use a more specific sub-code for primary diagnosis billing.
S43 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S43 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.