S43.9
S43.9 — Sprain of unspecified parts of shoulder girdle
Non-billable headerICD-10-CMunspecified
S43.9 is a non-billable header ICD-10-CM code for sprain of unspecified parts of shoulder girdle. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S43
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S43.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S43.9
3 child codes. Green means billable.
Related codes at this level
Codes that share S43. If S43.9 is not quite right, the correct code is usually one of these.
- S43.0Subluxation and dislocation of shoulder joint
- S43.1Subluxation and dislocation of acromioclavicular joint
- S43.2Subluxation and dislocation of sternoclavicular joint
- S43.3Subluxation and dislocation of other and unspecified parts of shoulder girdle
- S43.4Sprain of shoulder joint
- S43.5Sprain of acromioclavicular joint
- S43.6Sprain of sternoclavicular joint
- S43.8Sprain of other specified parts of shoulder girdle
Questions about S43.9
- Is S43.9 a billable ICD-10-CM code?
- No. S43.9 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S43.9 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).