S43.4
Header — not billableSprain of shoulder joint
The ICD-10 code for sprain of shoulder joint is S43.4.
S43.4 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 5 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S43.4
Related codes in this category
- S43.0Subluxation and dislocation of shoulder jointnon-billable header
- S43.1Subluxation and dislocation of acromioclavicular jointnon-billable header
- S43.2Subluxation and dislocation of sternoclavicular jointnon-billable header
- S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdlenon-billable header
- S43.5Sprain of acromioclavicular jointnon-billable header
- S43.6Sprain of sternoclavicular jointnon-billable header
- S43.8Sprain of other specified parts of shoulder girdlenon-billable header
- S43.9Sprain of unspecified parts of shoulder girdlenon-billable header
- S43.4Sprain of shoulder jointnon-billable header